| NPI | 1629785159 |
|---|---|
| Doing Business As | SUNDANCE ADULT FAMILY HOME |
| Entity Type | Organization |
| Authorized Contact | SUSAN MWIKLAI WAWERU Manager 508-612-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-11 |