Organization
ROCKFORD AL OPCO LLC
Active
Other names
Rockford Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization
Contact information
Practice address
10731 STATE ROUTE 118, ROCKFORD, OH 45882-8947
(419) 363-2620
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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