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Organization
SUNDANCE REHABILITATION AGENCY, LLC
Active
Organization
SUNDANCE REHABILITATION AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ANTHONY SHROM (CEO)
(215) 896-0422
Entity
Organization
Contact information
Practice address
933 HIGHWAY 29 N, ATHENS, GA 30601-1530
(706) 770-1705
(706) 549-7786
Mailing address
100 E STATE ST, KENNETT SQUARE, PA 19348-3110
(800) 815-8577
(610) 612-5123
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2014
Last updated
09/27/2024
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