Healthcare Provider Details

I. General information

NPI: 1457611345
Provider Name (Legal Business Name): PEOPLE FIRST SUPPORTS COORDINATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N MAIN ST
SPRING CITY PA
19475-1827
US

IV. Provider business mailing address

111 N MAIN ST
SPRING CITY PA
19475-1827
US

V. Phone/Fax

Practice location:
  • Phone: 484-888-8270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RONI VANDAGNA
Title or Position: GENERAL PARTNER
Credential:
Phone: 484-888-8270