OrganizationActive
Lifescape Community Services, Inc.
NPI 1871865394 · Adult Day Care Clinic/Center · Rockford, IL
Provider details
- NPI number
- 1871865394
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carol Green, Executive Director(815) 963-1609
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
705 Kilburn Ave
Rockford, IL 61101-6550
Phone: (815) 963-1609
Fax: (815) 963-1627
Approximate (ZIP-level) locationGet directions
Mailing address
705 Kilburn Ave
Rockford, IL 61101-6550
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.