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SUNDANCE REHABILITATION NPI 1831468792


NPI Information

NPI: 1831468792
Provider Name: SUNDANCE REHABILITATION
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
110 EDGEWORTH RD
NEWNAN, GA
ZIP 30263
Phone: (770) 683-6854
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SUNDANCE REHABILITATION is an assisted living facility in Newnan, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUNDANCE REHABILITATION NPI is 1831468792. The provider is registered as an organization entity type.

The provider's business location address is:

110 EDGEWORTH RD
NEWNAN, GA
ZIP 30263-916
Phone: (770) 683-6854
Fax: (770) 252-0886

The provider's authorized official is Sheree Rudder .
The authorized official title is Therapy Program Manager and has the following contact phone number (770) 683-6854.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 12/22/2011.


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
1310400000XAssisted Living FacilitySLP007514GEORGIAYes

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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