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Organization

CROSSROADS HOME HEALTH, INC.

Active
Other names
Visiting Angels of Rockford
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK HARLING (OWNER)
(815) 977-3452
Entity
Organization

Contact information

Practice address
3600 E STATE ST, SUITE 201, ROCKFORD, IL 61108-1978
(815) 977-3452
(815) 977-8162
Mailing address
3600 E STATE ST, SUITE 201, ROCKFORD, IL 61108-1978
(815) 977-3452
(815) 977-8162

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000983
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3000983
ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE
IL
Enumeration date
12/03/2014
Last updated
12/03/2014
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