Heritage Woods of Rockford

NPI #1417142225 in Rockford, Illinois

Provider Information

NPI Number
1417142225
Entity Type
Organization
Organization Name
Heritage Woods of Rockford
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 14, 2007
Last Updated
Sep 14, 2007

Practice Location

Address
202 N SHOW PLACE DR
ZIP Code
61107
Phone
(815) 332-5777

Authorized Official

Name
MR. ROBERT MELLON
Title
ADMINISTRATOR
Phone
(815) 332-5777

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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