Organization
RESPIRATORY CARE LLC
Active
Other names
Savannah Sleep Disorder Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKE WALKER DALY (OWNER MANAGING MEMBER)
(912) 352-9049
Entity
Organization
Contact information
Practice address
340 HODGSON CT, STE 3, SAVANNAH, GA 31406-1520
(912) 352-9049
(912) 352-8985
Mailing address
340 EISENHOWER DR, BLDG. 1500, SAVANNAH, GA 31406-1600
(912) 352-9049
(912) 352-8985
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000526336E
—
GA
01
—
10057852
AMERIGROUP
GA
01
—
374501
WELLCARE
GA
Enumeration date
11/01/2006
Last updated
01/23/2012
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