CHANGES PLACE

ROCKFORD, IL
NPI1376707190
Entity TypeOrganization
Authorized ContactJACK PHILLIPS
Administrator
815-316-0699
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: IL  a47410002a)
Enumeration Date2008-07-10
Last Update Date2008-07-10
Business Address
CHANGES PLACE
258 N PHELPS AVE
ROCKFORD, IL 61108-2433
Phone number: 815-316-0699
Mailing Address
CHANGES PLACE
258 N PHELPS AVE
ROCKFORD, IL 61108-2433
Phone number: 815-316-0699
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