Provider Demographics
NPI:1184804569
Name:SANDHILLS REHABILITATION AND WELLNESS CENTER, INC
Entity type:Organization
Organization Name:SANDHILLS REHABILITATION AND WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ACUNA
Authorized Official - Last Name:REYES
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:910-695-3000
Mailing Address - Street 1:239 W PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-5430
Mailing Address - Country:US
Mailing Address - Phone:910-692-3000
Mailing Address - Fax:
Practice Address - Street 1:239 W PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5430
Practice Address - Country:US
Practice Address - Phone:910-692-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty