Organization
ROSECRANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W EATON MASTER OF SCIENCE (PRESIDENT CEO)
(815) 391-0100
Entity
Organization
Contact information
Practice address
810 E STATE ST STE 200, RIVER DISTRICT CLINIC, ROCKFORD, IL 61104-1001
(815) 391-1000
(815) 967-8724
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-0100
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
07/31/2014
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