NPI | 1972929024 |
---|---|
Doing Business As | SUNDANCE GEORGIA REHABILITATION AGENCY |
Entity Type | Organization |
Authorized Contact | DANIEL HIRSCHFELD Executive Vice President 610-444-6350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2014-03-13 |
Last Update Date | 2014-03-13 |