Organization
SLEEP RESOURCE CONSULTING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WEVERKA (BILLING COORDINATOR)
(928) 855-7570
Entity
Organization
Contact information
Practice address
1695 MESQUITE AVE STE 110, LAKE HAVASU CITY, AZ 86403-5684
(928) 855-7570
(928) 855-7574
Mailing address
PO BOX 3267, LAKE HAVASU CITY, AZ 86405-3267
(928) 855-7570
(928) 855-7574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01398
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881525
—
AZ
Enumeration date
07/30/2006
Last updated
10/03/2018
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