MEDICARE: PEOPLEFIRST VIRGINIA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598953523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLEFIRST VIRGINIA, LLC

Provider Business Mailing Address
First Line	:	2525 POT SPRING RD
Second Line	:
City	:	TIMONIUM
State	:	MD
Zip	:	21093-2778
Country	:	US
Telephone Number	:	410-308-9702
Fax Number	:	410-252-6359

Provider Business Practice Location Address
First Line	:	2525 POT SPRING RD
Second Line	:
City	:	TIMONIUM
State	:	MD
Zip	:	21093-2778
Country	:	US
Telephone Number	:	410-308-9702
Fax Number	:	410-252-6359

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MR. TERRANCE K. DILLON
Credential	:
Telephone Number	:	502-596-7220

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	04/30/2019

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Directions to “PEOPLEFIRST VIRGINIA, LLC ” Practice Location

Language	Start Address	Practice Location

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