Provider Demographics
NPI:1174969737
Name:ASAP ACE SLEEP APNEA PRODUCTS
Entity type:Organization
Organization Name:ASAP ACE SLEEP APNEA PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-483-3516
Mailing Address - Street 1:6155 STONEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-4409
Mailing Address - Country:US
Mailing Address - Phone:260-483-3516
Mailing Address - Fax:260-471-2797
Practice Address - Street 1:6155 STONEY CREEK DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-4409
Practice Address - Country:US
Practice Address - Phone:260-483-3516
Practice Address - Fax:260-471-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies