# SUNDANCE REHABILITATION CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205096971
- **Authorized official:** MRS. SHANNAN LYNN REDERER COTA/L (THERAPY PROGRAM MANAGER)
- **Authorized official phone:** (412) 653-3242

## Contact information

- **Practice address:** 1400 RIGGS RD, SUITE 2, SOUTH PARK, PA 15129-8917
- **Practice address phone:** (412) 653-3242
- **Practice address fax:** (412) 655-4178
- **Mailing address:** 1400 RIGGS RD, SUITE 2, SOUTH PARK, PA 15129-8917
- **Mailing address phone:** (412) 653-3242
- **Mailing address fax:** (412) 655-4178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | OP-001698-L | PA | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008