Healthcare Provider Details

I. General information

NPI: 1285890897
Provider Name (Legal Business Name): PEOPLE FIRST REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2008
Last Update Date: 08/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16455 E AVENUE OF THE FOUNTAINS
FOUNTAIN HILLS AZ
85268-8307
US

IV. Provider business mailing address

2832 S MARYLAND PKWY
LAS VEGAS NV
89109-1502
US

V. Phone/Fax

Practice location:
  • Phone: 480-836-4815
  • Fax:
Mailing address:
  • Phone: 702-232-8404
  • Fax: 702-537-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0022A
License Number StateAZ

VIII. Authorized Official

Name: MR. MICHAEL A SMITH
Title or Position: REHABILITATION DIRECTOR
Credential:
Phone: 702-232-8404