Organization
SUNDANCE REHABILITATIOM
Active
Parent organization
SUNDANCE REHABILITATION
Other names
st josephs residence
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNDANCE REHABILITATION
Authorized official
MS. SUE LAURIE YOUNG O.T.R. (T.P.M.)
(920) 982-9371
Entity
Organization
Contact information
Practice address
200 NORTHPOINTE CIR, SUITE 302, SEVEN FIELDS, PA 16046-7861
(800) 815-8577
Mailing address
N359 MARTEN RD, FREMONT, WI 54940-8736
(715) 281-1827
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1154-27
WI
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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