# POLAND CENTER FOR SLEEP, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Center for Sleep, Ltd.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932260924
- **Authorized official:** MARK R. FORTUNATO ESQUIRE (MANAGING MEMBER)
- **Authorized official phone:** (330) 757-3166

## Contact information

- **Practice address:** 3296 STONES THROW AVE, POLAND, OH 44514-4213
- **Practice address phone:** (330) 757-3166
- **Practice address fax:** (330) 757-8202
- **Mailing address:** 3296 STONES THROW AVE, POLAND, OH 44514-4213
- **Mailing address phone:** (330) 757-3166
- **Mailing address fax:** (330) 757-8202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000381168 | ANTHEM | OH |
| 05 | — | 2597971 | — | OH |
| 01 | — | 7204771 | AETNA | OH |
| 01 | — | 80314 | UNICARE | OH |