Healthcare Provider Details

I. General information

NPI: 1619136025
Provider Name (Legal Business Name): PEOPLEFIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 LOVERS LANE
WASHINGTON NC
27889
US

IV. Provider business mailing address

3914 STERLING POINTE DR V V 2
WINTERVILLE NC
28590-9203
US

V. Phone/Fax

Practice location:
  • Phone: 252-975-1636
  • Fax:
Mailing address:
  • Phone: 252-717-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1439
License Number StateNC

VIII. Authorized Official

Name: VALERIE STARKIE
Title or Position: OTR
Credential:
Phone: 252-717-2202