Organization
REMEDIES RENEWING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY BRANNING MS (VP OF MARKETING/FUND DEVELOPMENT)
(815) 962-0871
Entity
Organization
Contact information
Practice address
1908 PIERCE CT, BELVIDERE, IL 61008
(815) 547-4502
Mailing address
220 EASTON PKWY, ROCKFORD, IL 61108-2203
(815) 962-0871
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0559-0006-A
IL
Other
Enumeration date
03/20/2008
Last updated
08/28/2018
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