# MY SACRED HOME II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSH SLEEP LAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396979456
- **Authorized official:** JANNIFER S TERRY RN (PRESIDENT)
- **Authorized official phone:** (316) 440-4820

## Contact information

- **Practice address:** 7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3915
- **Practice address phone:** (316) 440-4820
- **Practice address fax:** (316) 440-4851
- **Mailing address:** 7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3915
- **Mailing address phone:** (316) 440-4820
- **Mailing address fax:** (316) 440-4851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173F00000X | Sleep Specialist (PhD) | — | NULL | Yes |
| 173F00000X | Sleep Specialist (PhD) | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2009
- **Last updated:** 05/05/2009