NPI | 1043746720 |
---|---|
Doing Business As | AUNT MARTHA'S ROCKFORD COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | AUDREY PENNINGTON COO 773-802-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2023-09-29 |