Healthcare Provider Details

I. General information

NPI: 1851559496
Provider Name (Legal Business Name): PEOPLEFIRTST REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 LOVERS LN
WASHINGTON NC
27889-3436
US

IV. Provider business mailing address

2774 NEUSE BLVD
NEW BERN NC
28562-2841
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number6074
License Number StateNC

VIII. Authorized Official

Name: TAMMY SMITH
Title or Position: PT
Credential:
Phone: 252-259-8717