Organization
ROSECRANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL EATON MBA (CEO / PRESIDENT)
(815) 391-1000
Entity
Organization
Contact information
Practice address
47 6TH AVE, SUITE L, LA GRANGE, IL 60525-2499
(815) 391-1000
(815) 316-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
04/24/2018
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