Organization
HERITAGE WOODS OF ROCKFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MELLON (ADMINISTRATOR)
(815) 332-5777
Entity
Organization
Contact information
Practice address
202 N SHOW PLACE DR, ROCKFORD, IL 61107
(815) 332-5777
Mailing address
202 N SHOW PLACE DR, ROCKFORD, IL 61107
(815) 332-5777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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