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Organization
CROSSROADS HOME HEALTH, INC.
Active
Organization
CROSSROADS HOME HEALTH, INC.
Active
Other names
Visiting Angels of Rockford
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HARLING (OWNER)
(815) 977-3452
Entity
Organization
Contact information
Practice address
3600 E STATE ST, SUITE 201, ROCKFORD, IL 61108-1978
(815) 977-3452
(815) 977-8162
Mailing address
3600 E STATE ST, SUITE 201, ROCKFORD, IL 61108-1978
(815) 977-3452
(815) 977-8162
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000983
ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE
IL
Enumeration date
12/03/2014
Last updated
12/03/2014
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