Heroes Of The Game, INC.
In Home Supportive Care in Rockford, IL. Organization (NPI-2).
NPI number1104250083
StatusActive
Last updated in NPPESAug 27, 2013
Details
- NPI
- 1104250083
- Entity type
- Organization (NPI-2)
- Legal business name
- Heroes Of The Game, INC.
- Organization subpart
- No
- Enumeration date
- Aug 27, 2013
- Last updated
- Aug 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | 201300012C | IL | Yes |
Practice location
3028 N Trainer RdRockford, IL 61114-5815
Phone 815-262-1431
Mailing address
3028 N Trainer RdRockford, IL 61114-5815
Phone 815-262-1431
Authorized official
Wendy Katherine Partridge
President/Ceo
8152620699
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