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Contact Information

SUNDANCE
228 SMITH CHAPEL ROAD
MOUNT OLIVE, NC28365
 Phone: 919-658-9522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SUNDANCE

NPI # 1760726475
LBN Legal business name SUNDANCE
Authorized official KAREN LANE - (TPM)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2012
Last updated 11/19/2012 - About 14 years ago
Identifiers
NC License # A1737
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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