# SUNDANCE REHABILLITATION

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

## Provider details

- **NPI number:** 1265749915
- **Authorized official:** TANIA LEWIS OTR/L (TPM)
- **Authorized official phone:** (316) 744-4109

## Contact information

- **Practice address:** 6700 E 45TH ST N, BEL AIRE, KS 67226-8817
- **Practice address phone:** (316) 744-4109
- **Mailing address:** 6700 E 45TH ST N, BEL AIRE, KS 67226-8817
- **Mailing address phone:** (316) 744-4109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 18-00719 | KS | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 09/01/2010