# WELLMAN SLEEP SYSTEMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Durable Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760617211
- **Authorized official:** MRS. CORTNIE RENEE WELLMAN BS, RPSGT (OWNER)
- **Authorized official phone:** (936) 828-1919

## Contact information

- **Practice address:** 123 BLUE HERON DR, STE 102, MONTGOMERY, TX 77316-3192
- **Practice address phone:** (936) 582-1112
- **Practice address fax:** (936) 582-1151
- **Mailing address:** 123 BLUE HERON DR, STE 102, MONTGOMERY, TX 77316-3192
- **Mailing address phone:** (936) 582-1112
- **Mailing address fax:** (936) 582-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 10/14/2009