Organization
GOLDIE FLOBERG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PINGO (CEO)
(815) 624-8431
Entity
Organization
Contact information
Practice address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
Mailing address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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