Organization
HEROES OF THE GAME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY KATHERINE PARTRIDGE M.S. (PRESIDENT/CEO)
(815) 262-0699
Entity
Organization
Contact information
Practice address
3028 N TRAINER RD, ROCKFORD, IL 61114-5815
(815) 262-1431
Mailing address
3028 N TRAINER RD, ROCKFORD, IL 61114-5815
(815) 262-1431
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
201300012C
IL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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