Organization
CAROLINA WREN SLEEP SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS RUSH RCP (OWNER)
(843) 289-1574
Entity
Organization
Contact information
Practice address
242 S MAIN ST, MULLINS, SC 29574-3120
(843) 289-1574
Mailing address
242 S MAIN ST, MULLINS, SC 29574-3120
(843) 289-1574
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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