Heritage Woods Of Rockford

NPI 1417142225 - Assisted Living Facility - 310400000X

NPI Details
NPI 1417142225
Enumeration Date 09/14/2007
Last Updated 09/14/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT ROBERT
Position ADMINISTRATOR
Phone (815) 332-5777
Fax
Practice Location
202 N SHOW PLACE DR
ROCKFORD IL, 61107, US
Phone (815) 332-5777
Fax
Business Location
202 N SHOW PLACE DR
ROCKFORD IL, 61107, US
Phone (815) 332-5777
Fax
Toxanomy
Taxonomy Code 310400000X
License State
License Number
Remove 1417142225 NPI Number
 

According to our database, Heritage Woods Of Rockford NPI is 1417142225, taxonomy code is 310400000X Heritage Woods Of Rockford physically located at 202 N Show Place Dr, Rockford IL, 61107. NPI Number 1033115704 has the healthcare provider type.

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1417142225 NPI number is provided on an as is basis without warranty of any kind. 1417142225 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Woods Of Rockford are for informational purposes only.