Organization
FIRST HEALTHCARE REHABILITATION, LLC
Active
Parent organization
FIRST HEALTHCARE NETWORK LLC
Other names
FIRST HEALTHCARE REHABILITATION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST HEALTHCARE NETWORK LLC
Authorized official
CLARISSE BETHEL (CEO/PRESIDENT)
(240) 643-5523
Entity
Organization
Contact information
Practice address
20130 LAKEVIEW CENTER PLZ, ASHBURN, VA 20147-5904
(703) 840-5467
(301) 808-0360
Mailing address
22570 MARKEY CT STE 220, STERLING, VA 20166-6915
(703) 444-6215
(703) 444-9145
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HCO151277
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740668169
—
VA
05
—
1922371418
—
VA
Enumeration date
05/18/2015
Last updated
06/11/2020
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