Organization
SUNDANCE REHABILITATION AGENCY, INC
Active
Other names
SunDance Georgia Rehabilitation Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HIRSCHFELD (EXECUTIVE VICE PRESIDENT)
(610) 444-6350
Entity
Organization
Contact information
Practice address
724 GREENE ST, AUGUSTA, GA 30901-2359
(706) 722-2096
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(724) 831-5044
(610) 612-5459
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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