Organization
SUPERSOMNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVANI SAINI (MEMBER)
(616) 216-5068
Entity
Organization
Contact information
Practice address
6886 CASCADE RD SE STE D, GRAND RAPIDS, MI 49546-6879
(616) 216-5068
Mailing address
6886 CASCADE RD SE STE D, GRAND RAPIDS, MI 49546-6879
(616) 216-5068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5306005123
STATE OF MICHIGAN BPL
MI
Enumeration date
05/30/2019
Last updated
06/11/2019
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