Provider Demographics
NPI:1124216155
Name:PEOPLEFIRST VIRGINIA, LLC
Entity Type:Organization
Organization Name:PEOPLEFIRST VIRGINIA, LLC
Other - Org Name:PEOPLEFIRST REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7220
Mailing Address - Street 1:112 OAK TREE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-1488
Mailing Address - Country:US
Mailing Address - Phone:540-382-1346
Mailing Address - Fax:540-382-0276
Practice Address - Street 1:112 OAK TREE BLVD
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1488
Practice Address - Country:US
Practice Address - Phone:540-382-1346
Practice Address - Fax:540-382-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
496707Medicare Oscar/Certification