Organization · Type 2 NPI

Rockford Supportive Living

Assisted Living Facility · Rockford, IL

NPI number 1609907740 Active

Practice location

2114 Kishwaukee St
Rockford, IL 61104-7099

Call (815) 966-1030 Map

Fax (815) 966-1090

Mailing address

4711 Midlothian Tpke, Suite 20
Crestwood, IL 60445-4900

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1609907740

Rockford Supportive Living's National Provider Identifier is 1609907740, issued on Mar 8, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rockford, IL. The record was last updated on Aug 22, 2020.