Organization
GOLDIE B. FLOBERG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN J PENNELL MSW (PRESIDENT CEO)
(815) 624-8431
Entity
Organization
Contact information
Practice address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
(815) 624-8461
Mailing address
58 W ROCKTON RD, P.O. BOX 346, ROCKTON, IL 61072-1631
(815) 624-8431
(815) 624-8461
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
008086-10
IL
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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