| Rosecrance Harbor House | |
|
707 N Court St Rockford IL 61103-6954 | |
| (815) 391-1000 | |
| Not Available |
| Full Name | Rosecrance Harbor House |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 707 N Court St, Rockford, Illinois |
| Authorized Official Name and Position | Phillip Eaton (CEO / PRESIDENT) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Harbor House 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | Rosecrance Harbor House 707 N Court St Rockford IL 61103-6954 Ph: (815) 391-1000 |
| NPI Number | 1588945869 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588945869 | NPI | - | NPPES |
| 04081 | Medicaid | IL |
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