Organization
ROCKFORD HEALTHCARE & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM A WESTERKAMP (COO)
(630) 649-1577
Entity
Organization
Contact information
Practice address
1920 N MAIN ST, ROCKFORD, IL 61103-4708
(815) 964-6834
Mailing address
1920 N MAIN ST, ROCKFORD, IL 61103-4708
(815) 964-6834
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0049106
IL
314000000X
Skilled Nursing Facility
Primary
0049106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208158239
—
IL
Enumeration date
07/09/2008
Last updated
08/22/2008
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