| NPI | 1407012990 |
|---|---|
| Doing Business As | SUNDANCE REHABILITATION AGENCY OF MISSOURI |
| Entity Type | Organization |
| Authorized Contact | SUE GWYN President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2009-09-30 |