Organization
PAIN AND SLEEP THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY JACOBS DDS (CHIEF CLINICAL DIRECTOR)
(302) 299-5617
Entity
Organization
Contact information
Practice address
1149 W LANCASTER AVE STE 5, BRYN MAWR, PA 19010-2722
(302) 299-5617
Mailing address
620 CHURCHMANS RD STE 203, NEWARK, DE 19702-1945
(302) 299-5617
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/02/2023
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