Rosecrance Inc in Rockford - Substance Abuse Rehabilitation Facility
Rosecrance Inc - NPI 1245216050
Rosecrance Inc is a Substance Abuse Rehabilitation Facility in Rockford, Illinois. Rosecrance Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Rosecrance Inc is 1245216050. The last update date is 2015-11-25.
Rosecrance Inc's current location address is 1021 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8153910100 and fax number 8153915040. The mailing address for Rosecrance Inc is 1021 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rosecrance Inc |
|---|---|
| Address | 1021 N Mulford Rd, Rockford, Illinois |
| Phone Number | 8153910100 |
| Fax Number | 8153915040 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eaton W Philip |
| Credentials | MASTER OF |
| Telephone Number | 8153910100 |
NPI Number Detail
| NPI Number | 1245216050 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
| Address | 1021 N Mulford Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611073877 |
| Phone Number | 8153910100 |
| Fax Number | 8153915040 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the Rosecrance Inc's 1245216050?
The Rosecrance Inc's NPI (National Provider Identifier) Number is 1245216050. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rosecrance Inc is physically located?
The Rosecrance Inc is physically situated at the following address: 1021 N Mulford Rd, Rockford, IL, 611073877.
What is the Rosecrance Inc's specialty and taxonomy code?
The Rosecrance Inc's specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245216050 to Rosecrance Inc?
The Centers for Medicare & Medicaid Services originally issued the 1245216050 to Rosecrance Inc on 2005-12-22.
As of what date were the Rosecrance Inc's details last updated?
The information pertaining to the Rosecrance Inc, including its address, specialty, and other details, was most recently updated on 2015-11-25.
NPI Number: 1932102142
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