Organization
BRIGHT HORIZONS RESPITE
Active
Other names
Bright Horizons Respite
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHENITA L MOTON (OWNER/CEO)
(815) 519-8875
Entity
Organization
Contact information
Practice address
2235 S 4TH ST, ROCKFORD, IL 61104-7103
(815) 519-8875
Mailing address
2235 S 4TH ST, ROCKFORD, IL 61104-7103
(815) 519-8875
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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