Organization
OUR CHILDREN'S HOMESTEAD
Active
Organization
OUR CHILDREN'S HOMESTEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA ALLEN (CEO)
(630) 369-0004
Entity
Organization
Contact information
Practice address
7210 E STATE ST, SUITE 210, ROCKFORD, IL 61108-2622
(815) 316-7626
Mailing address
7210 E STATE ST, SUITE 210, ROCKFORD, IL 61108-2622
(815) 316-7626
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
26699407
IL
Other
Enumeration date
10/29/2013
Last updated
04/07/2017
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