Organization
SLEEP RESTORATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI JENNINGS CHRYSANTHOPOULOS RPSGT (PROGRAM MANAGER)
(318) 450-3378
Entity
Organization
Contact information
Practice address
2807 EVANGELINE ST, MONROE, LA 71201-3749
(318) 450-3378
(318) 324-1719
Mailing address
2807 EVANGELINE ST, MONROE, LA 71201-3749
(318) 450-3378
(318) 324-1719
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
LA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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