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1629312079
SUNDANCE
MARIETTA, GA
NPI
1629312079
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Entity Type
Organization
Authorized Contact
SHEMILY MATHEW
PT
207-992-6007
Organization Subpart ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: GA PT010530)
Enumeration Date
2012-11-23
Last Update Date
2012-11-23
Business Address
SUNDANCE
145 COX FARM RD NW
MARIETTA, GA 30064-5059
Phone number: 207-992-6007
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Mailing Address
SUNDANCE
145 COX FARM RD NW
MARIETTA, GA 30064-5059
Phone number: 207-992-6007
Copy
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