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Organization
SUNDANCE REHABILITATION LLC
Active
Organization
SUNDANCE REHABILITATION LLC
Active
Parent organization
SUNDANCE REHABILITATION CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNDANCE REHABILITATION CORPORATION
Authorized official
CARL ANTHONY SHROM (CEO)
(215) 896-0422
Entity
Organization
Contact information
Practice address
102B KINGS WAY W, SEWELL, NJ 08080-2235
(856) 582-4500
Mailing address
101 E STATE STREET, C/O AMY NUNEMAKER, KENNETT SQUARE, PA 19348-3109
(610) 925-4560
(610) 347-4147
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
N/A
NULL
Other
Enumeration date
05/24/2006
Last updated
05/03/2023
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