Organization
SOUTHERN HOME RESPIRATORY CARE, INC.
Active
Parent organization
SOUTHERN SLEEP TECHNOLOGIES INC
Other names
SLEEP SERVICES OF AMERICA, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN SLEEP TECHNOLOGIES INC
Authorized official
MARK SHANE MOBLEY RRT, PSGT (CEO)
(478) 757-0759
Entity
Organization
Contact information
Practice address
215 SHERATON BLVD STE B, MACON, GA 31210-1359
(478) 757-0759
(478) 757-0769
Mailing address
215 SHERATON BLVD STE B, MACON, GA 31210-1359
(478) 757-0759
(478) 757-0799
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
01977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094619A
—
GA
01
—
310095300
US DEPARTMENT OF LABOR
GA
01
—
52008983001
BCBS
GA
Enumeration date
06/17/2005
Last updated
10/20/2008
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