Organization
REMSLEEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BATTAGLIA (OWNER)
(248) 853-5380
Entity
Organization
Contact information
Practice address
42724 FLIS DR, STERLING HEIGHTS, MI 48314-2849
(248) 853-5380
Mailing address
51470 ORO DR, SHELBY TOWNSHIP, MI 48315-2931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BLUE CROSS OF MI
MI
05
—
PENDING
—
MI
Enumeration date
05/07/2015
Last updated
05/07/2015
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