Organization
AMAZING SLEEP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BOLTON (OWNER)
(931) 684-9002
Entity
Organization
Contact information
Practice address
213 LANE PKWY, SHELBYVILLE, TN 37160-3108
(931) 684-9002
(931) 684-9007
Mailing address
PO BOX 397, SHELBYVILLE, TN 37162-0397
(931) 684-9002
(931) 684-9007
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524463
—
TN
01
—
4308720
BCBS
—
Enumeration date
06/08/2011
Last updated
03/18/2015
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