Healthcare Provider Details

I. General information

NPI: 1841447067
Provider Name (Legal Business Name): PEOPLEFIRST REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HARRIS RD
NASHUA NH
03062-2145
US

IV. Provider business mailing address

55 HARRIS RD
NASHUA NH
03062-2145
US

V. Phone/Fax

Practice location:
  • Phone: 603-888-1573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0477
License Number StateNH

VIII. Authorized Official

Name: LUCINE MELTON
Title or Position: COTA/L
Credential:
Phone: 603-888-1573