Organization
ROCKFORD SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FINN (MEMBER)
(847) 229-3400
Entity
Organization
Contact information
Practice address
2114 KISHWAUKEE ST, ROCKFORD, IL 61104-7099
(815) 966-1030
(815) 966-1090
Mailing address
4711 MIDLOTHIAN TPKE, SUITE 20, CRESTWOOD, IL 60445-4900
(708) 371-4507
(708) 371-1761
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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