Organization
ROSECRANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W EATON MS (PRESIDENT/CEO)
(815) 391-0100
Entity
Organization
Contact information
Practice address
215 N COURT ST, COURT STREET UNITED METHODIST CHURCH, ROCKFORD, IL 61103-6802
(815) 391-1000
(815) 484-8640
Mailing address
1601 N UNIVERSITY DR, ROCKFORD, IL 61107-5317
(815) 391-0100
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
06/29/2009
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