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SUNDANCE REHAB NPI 1013217140


NPI Information

NPI: 1013217140
Provider Name: SUNDANCE REHAB
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
64 MILLER DR
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 596-5436
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SUNDANCE REHAB is a residential treatment facility physical disabilities in Richmond Hill, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. SUNDANCE REHAB NPI is 1013217140. The provider is registered as an organization entity type.

The provider's business location address is:

64 MILLER DR
RICHMOND HILL, GA
ZIP 31324-843
Phone: (912) 596-5436

The provider's authorized official is Kristin Higdon .
The authorized official title is Pta Prog. Mgr and has the following contact phone number (912) 927-0667.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 10/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical Disabilities5527GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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