Sundance Rehabilitation

LBN: Sundance Rehabilitation
Sundance Rehabilitation is an health care organization with primary practice located at 1305 Northeast Main Street , Vidalia GA 30475. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Sundance Rehabilitation can be contacted via phone (912) 537-4813, or through Graham, Holly C via phone (912) 537-4813.

Contact Information

Primary practice address
1305 Northeast Main Street Vidalia GA 30475
Phone: (912) 537-4813
Fax: (912) 537-6238
Website:
Map and Directions
Authorized official contact:
Name: Graham, Holly C M.ED. CCC-SLP
Phone: (912) 537-4813

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X SLP006437 Georgia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SLP006437 Georgia

Profile Details

NPI number 1932375763
LBN Legal business name Sundance Rehabilitation
DBA Doing business as
Authorized official Graham, Holly C M.ED. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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