Provider Demographics
NPI:1952951675
Name:SWSLEEP INC
Entity type:Organization
Organization Name:SWSLEEP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EBERHART
Authorized Official - Suffix:
Authorized Official - Credentials:RRT-SDS, RPSGT
Authorized Official - Phone:949-874-5932
Mailing Address - Street 1:3401 N BUTLER AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-6867
Mailing Address - Country:US
Mailing Address - Phone:505-787-2184
Mailing Address - Fax:505-436-2991
Practice Address - Street 1:3401 N BUTLER AVE,
Practice Address - Street 2:STE 105
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-6867
Practice Address - Country:US
Practice Address - Phone:505-787-2184
Practice Address - Fax:505-436-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-14
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic