NPI 1124457825

Illinois Mentor

Organisation Foster Care Agency Rockford, IL

Practice location

Address: 615 N Longwood St, Rockford, IL 61107-4265
Phone: (181) 528-2615
Mailing address: 600 Holiday Plaza Dr Suite 400, Matteson, IL 60443-2241

Authorised official

Name: Sara Spencer
Title: Executive Director
Phone: (708) 679-9137

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

Other Foster Care Agency providers in Illinois →

Registry record

NPI: 1124457825
Entity type: Organization
NPI issued: 4 Nov 2013
Record last updated: 4 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.