Healthcare Provider Details
I. General information
NPI: 1760639462
Provider Name (Legal Business Name): PEOPLEFIRST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2008
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6025 PRIMACY PKWY
MEMPHIS TN
38119-5763
US
IV. Provider business mailing address
6025 PRIMACY PKWY
MEMPHIS TN
38119-5763
US
V. Phone/Fax
- Phone: 901-818-5932
- Fax: 901-374-9603
- Phone: 901-818-5932
- Fax: 901-374-9603
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHELIA
ANN
CARTWRIGHT
Title or Position: PTA
Credential: PTA
Phone: 901-864-1474