Organization
SUNDANCE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL WINCHESTER M.A., SLP (VICE PRESIDENT)
(941) 232-3288
Entity
Organization
Contact information
Practice address
912 SCHOONER CIR, ANNAPOLIS, MD 21401-6846
(410) 266-6290
Mailing address
912 SCHOONER CIR, ANNAPOLIS, MD 21401-6846
(410) 266-6290
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
01515
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-0001112
SLP
DE
01
—
01515
SLP
MD
01
—
2202006276
SLP
VA
01
—
SLP000033
SLP
DC
Enumeration date
11/20/2012
Last updated
11/20/2012
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