Organization
SUNDANCE REHABILITATION AGENCY, INC.
Active
Parent organization
SUNDANCE REHABILITATION CORPORATION
Other names
SunDance Maryland Rehabilitation Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNDANCE REHABILITATION CORPORATION
Authorized official
SUE GWYN (PRESIDENT DIRECTOR)
(617) 646-5593
Entity
Organization
Contact information
Practice address
6336 CEDAR LN, COLUMBIA, MD 21044-3897
(410) 531-3402
(410) 531-3402
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
N/A
—
Other
Enumeration date
05/22/2006
Last updated
09/30/2009
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