# SUNDANCE REHABILITATIOM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNDANCE REHABILITATION
- **Other names:** st josephs residence
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770841181
- **Legal business name:** SUNDANCE REHABILITATION
- **Authorized official:** MS. SUE LAURIE YOUNG O.T.R. (T.P.M.)
- **Authorized official phone:** (920) 982-9371

## Contact information

- **Practice address:** 200 NORTHPOINTE CIR, SUITE 302, SEVEN FIELDS, PA 16046-7861
- **Practice address phone:** (800) 815-8577
- **Mailing address:** N359 MARTEN RD, FREMONT, WI 54940-8736
- **Mailing address phone:** (715) 281-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1154-27 | WI | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 04/24/2012