Organization
ROSECRANCE, INC.
Active
Other names
Rosecrance Marlowe House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W. EATON MASTER OF SCIENCE (PRESIDENT / CEO)
(815) 391-0100
Entity
Organization
Contact information
Practice address
1365 UNIVERSITY DR, ROCKFORD, IL 61107-5319
(815) 490-0077
(815) 490-0079
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 931-1000
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0601-0025-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0601-0025-A
—
IL
Enumeration date
12/11/2008
Last updated
11/25/2015
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