Provider Demographics
NPI:1598930307
Name:PEOPLEFIRST REHAB
Entity Type:Organization
Organization Name:PEOPLEFIRST REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRONEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-359-3529
Mailing Address - Street 1:6004 MORNING VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-3196
Mailing Address - Country:US
Mailing Address - Phone:715-359-3529
Mailing Address - Fax:
Practice Address - Street 1:6004 MORNING VIEW LN
Practice Address - Street 2:
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476-3196
Practice Address - Country:US
Practice Address - Phone:715-359-3529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDRED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1275-154314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility