Organization
ROSECRANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W. EATON MASTERS OF SCIENCE (CEO / PRESIDENT)
(815) 391-1000
Entity
Organization
Contact information
Practice address
54 S JACKSON ST, JANESVILLE, WI 53548-3837
(608) 752-8716
(815) 391-5040
Mailing address
1601 UNIVERSITY DR, ROCKFORD, IL 61107-5317
(815) 391-1000
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42254500
—
WI
Enumeration date
09/29/2008
Last updated
07/22/2009
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