Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Other names
ProMedica Hospice (Rockford)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
6000 E STATE ST STE 1, ROCKFORD, IL 61108-2521
(815) 397-3691
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
2002350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002511
—
WI
Enumeration date
05/17/2006
Last updated
04/14/2022
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