National Provider Identifier Database

SUNDANCE REHAB
Residential Treatment Facility, Physical Disabilities

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.


Contact Information

SUNDANCE REHAB
64 MILLER DR
RICHMOND HILL, GA31324-4843
Phone: 912-596-5436
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for SUNDANCE REHAB

NPI Number 1013217140
Legal business name
LBN
SUNDANCE REHAB
Authorized official KRISTIN HIGDON - (PTA PROG. MGR)
Entity Organization
Organization subpart No
Enumeration date 10/22/2010
Last updated 10/22/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 5527

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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