Provider Demographics
NPI:1114226677
Name:PEOPLEFIRSTREHAB
Entity Type:Organization
Organization Name:PEOPLEFIRSTREHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GODEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-942-3135
Mailing Address - Street 1:66 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1913
Mailing Address - Country:US
Mailing Address - Phone:508-378-7227
Mailing Address - Fax:508-378-2008
Practice Address - Street 1:66 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1913
Practice Address - Country:US
Practice Address - Phone:508-378-7227
Practice Address - Fax:508-378-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA173314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility