Organization
SUNDANCE REHABILITATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNAN LYNN REDERER COTA/L (THERAPY PROGRAM MANAGER)
(412) 653-3242
Entity
Organization
Contact information
Practice address
1400 RIGGS RD, SUITE 2, SOUTH PARK, PA 15129-8917
(412) 653-3242
(412) 655-4178
Mailing address
1400 RIGGS RD, SUITE 2, SOUTH PARK, PA 15129-8917
(412) 653-3242
(412) 655-4178
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
OP-001698-L
PA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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