Frances House INC

NPI #1679745020 in Rockford, Illinois

Provider Information

NPI Number
1679745020
Entity Type
Organization
Organization Name
Frances House INC
Subpart
Yes (part of a larger organization)
Parent Organization
FRANCES HOUSE INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 26, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
3247 GLENWOOD AVENUE
ZIP Code
61101-3416
Phone
(815) 965-1043

Authorized Official

Name
MR. RONALD J WILSON
Title
AUTHORIZED AGENT
Phone
(309) 343-1550

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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