Organization
GOODNITE SLEEP SOLUTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA N. NICOLAS RESPIRATORY THERAPY (CEO)
(909) 904-3387
Entity
Organization
Contact information
Practice address
1902 ORANGE TREE LN STE 160, REDLANDS, CA 92374-4527
(909) 904-3387
(909) 614-8080
Mailing address
29030 EASTON LN, HIGHLAND, CA 92346-7752
(909) 904-3387
(909) 614-8080
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/30/2016
Last updated
08/26/2024
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