Organization
ELLIS SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ELLIS (OWNER/DENTIST)
(314) 210-5150
Entity
Organization
Contact information
Practice address
10296 BIG BEND RD STE 207, SAINT LOUIS, MO 63122-6582
(314) 965-1334
(314) 965-0679
Mailing address
10296 BIG BEND RD STE 207, SAINT LOUIS, MO 63122-6582
(314) 965-1334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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