NPI 1982539490

Rockford Al Opco LLC

Organisation Assisted Living Facility Rockford, OH

Practice location

Address: 10731 State Route 118, Rockford, OH 45882-8947
Phone: (419) 363-2620
Mailing address: 1869 Craig Park CT, Saint Louis, MO 63146-4122

Authorised official

Name: Nicholas Destefane
Title: President
Phone: (314) 543-3800

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1982539490
Entity type: Organization
NPI issued: 16 Jun 2026
Record last updated: 16 Jun 2026

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.