Five Star Quality Care-Il, LLC

NPI #1194013367 in Rockford, Illinois

Provider Information

NPI Number
1194013367
Entity Type
Organization
Organization Name
Five Star Quality Care-Il, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE-IL, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 21, 2011
Last Updated
Jun 27, 2016

Practice Location

Address
7130 CRIMSON RIDGE DR
ZIP Code
61107-6222
Phone
(815) 398-7792

Authorized Official

Name
BRUCE J MACKEY JR.
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8214

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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