Organization
ROSECRANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ RAMIREZ (MANAGED CARE PANELING ASSISTANT)
(815) 387-5623
Entity
Organization
Contact information
Practice address
500 ART BARTELL RD, URBANA, IL 61802-2888
(815) 387-5600
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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