OrganizationActive
Sundance
NPI 1629312079 · Skilled Nursing Facility · Marietta, GA
Sundance is a Skilled Nursing Facility organization in Marietta, GA (NPI 1629312079).
Provider details
- NPI number
- 1629312079
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- No
- Organization subpart
- Yes
- Authorized official
- Shemily Mathew, PT(207) 992-6007
- License
- PT010530 (GA)
Practice location
145 Cox Farm Rd Nw
Marietta, GA 30064-5059
Phone: (207) 992-6007
Street-level locationGet directions
Mailing address
145 Cox Farm Rd Nw
Marietta, GA 30064-5059
Registry dates
- Enumerated
- 2012-11-23
- Last updated
- 2012-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.