Provider Demographics
NPI:1477606481
Name:PEOPLE FIRST, INC. WAIVER SUPPORT COORDINATOR
Entity Type:Organization
Organization Name:PEOPLE FIRST, INC. WAIVER SUPPORT COORDINATOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARDELLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-873-9388
Mailing Address - Street 1:2842 SW DINNER ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3215
Mailing Address - Country:US
Mailing Address - Phone:772-873-9388
Mailing Address - Fax:
Practice Address - Street 1:2842 SW DINNER ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3215
Practice Address - Country:US
Practice Address - Phone:772-873-9388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-21
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty