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Organization

SIMPLY SLEEP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELSEY NANCARROW RPSGT, RST, CCSH (OWNER)
(832) 202-8499
Entity
Organization

Contact information

Practice address
401 W FAIRMONT PKWY STE F, LA PORTE, TX 77571-6314
(346) 443-2389
(346) 443-2398
Mailing address
401 W FAIRMONT PKWY STE F, LA PORTE, TX 77571-6314
(346) 443-2389
(346) 443-2398

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
04/13/2021
Last updated
01/18/2023
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