Rosecrance INC
Substance Abuse Rehabilitation Facility in Rockford, IL. Organization (NPI-2).
NPI number1548247349
StatusActive
Last updated in NPPESNov 25, 2015
Details
- NPI
- 1548247349
- Entity type
- Organization (NPI-2)
- Legal business name
- Rosecrance INC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2005
- Last updated
- Nov 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Rosecrance Harrison - Men'S (Doing Business As)
Practice location
3815 Harrison AveMen'S
Rockford, IL 61108-7631
Phone 815-391-1000 · Fax 815-484-8640
Mailing address
1021 N Mulford RdRockford, IL 61107-3877
Phone 815-391-0100 · Fax 815-391-5040
Authorized official
Philip W Eaton
President Ceo
8153910100
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All 16 Substance Abuse Rehabilitation Facility providers in Rockford · All 5,035 providers in Rockford
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