Goldie Floberg Center
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rockton, IL
NPI 1154701217 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1154701217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- GOLDIE FLOBERG CENTER
- Practice address
- 58 W Rockton Rd
Rockton, IL 61072-1631 - Phone
- (815) 624-8431
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
Authorized official
- Name
- John Pingo
- Title
- Ceo
- Phone
- (815) 624-8431
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Goldie B Floberg Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
58 W Rockton Rd
Rockton, IL 61072-1631
Mailing address
58 W Rockton Rd
Rockton, IL 61072-1631
Phone (815) 624-8431
Other providers in Rockton, IL
- James Adrian Fogarty
- Julie Gerard
- Goldie B. Floberg Center
- Goldie B. Floberg Center
- Goldie B. Floberg Center for Children
- Melissa Marie Gomez
- Jarrett Gordon
- Brent Thomas Graceffa
- Gunderson Clinic of Chiropractic Inc.
- Dwight Charles Gunderson
All providers in Rockton, IL · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.