Organization
COMMUNITY KITCHEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL GREEN (CEO)
(815) 963-1609
Entity
Organization
Contact information
Practice address
705 KILBURN AVE, ROCKFORD, IL 61101-6550
(815) 963-1609
(815) 963-1627
Mailing address
705 KILBURN AVE, ROCKFORD, IL 61101-6550
(815) 963-1609
(815) 963-1627
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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