Individual
JENNIFER HAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 FAIRVIEW DR, ROCHELLE, IL 61068-2310
(815) 561-9003
Mailing address
1327 8TH AVE, ROCHELLE, IL 61068-1211
(815) 562-3521
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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