Provider Demographics
NPI: | 1396118345 |
---|---|
Name: | FIRST REHABILITATION RESOURCES, INC. |
Entity type: | Organization |
Organization Name: | FIRST REHABILITATION RESOURCES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JANET |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | DAYHOFF |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS, CDMS, CRC, CCM |
Authorized Official - Phone: | 301-369-3401 |
Mailing Address - Street 1: | 14502 GREENVIEW DR |
Mailing Address - Street 2: | SUITE 360 |
Mailing Address - City: | LAUREL |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20708-3287 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 301-369-3401 |
Mailing Address - Fax: | 301-362-9350 |
Practice Address - Street 1: | 14502 GREENVIEW DR |
Practice Address - Street 2: | SUITE 360 |
Practice Address - City: | LAUREL |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20708-3287 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-369-3401 |
Practice Address - Fax: | 301-362-9350 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-11-12 |
Last Update Date: | 2015-11-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MD | 251B00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management |