Organization
ROSECRANCE, INC.
Active
Organization
ROSECRANCE, INC.
Active
Other names
Rosecrance Frankfort Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL W. EATON MASTERS IN SCIENCE (CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
20635 ABBEY WOODS CT N, SUITE #310 B, FRANKFORT, IL 60423-3181
(815) 391-1000
(815) 391-5040
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
A-0601-0029-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0601-0029-A
—
IL
Enumeration date
10/01/2008
Last updated
04/25/2018
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