Organization
ROSECRANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W EATON MASTERS IN SCIENCE (PRESIDENT / CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
201 N 6TH ST, ROCKFORD, IL 61107-4101
(815) 961-7288
(815) 961-7285
Mailing address
3815 HARRISON AVE, ROCKFORD, IL 61108-7631
(815) 391-1000
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0601-0010-A
IL
Other
Enumeration date
02/26/2008
Last updated
05/22/2009
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