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Grand Victorian Of Rockford, Llc
Point of Service in Rockford, Illinois
NPI 1891991550

Grand Victorian Of Rockford, Llc is a Point of Service based in Eugene, IL. Grand Victorian Of Rockford, Llc practices in Rockford, IL. The NPI Number for Grand Victorian Of Rockford, Llc is 1891991550 and holds a License No. (Illinois).

The current practice location address for Grand Victorian Of Rockford, Llc is 3495 Mcfarland Rd, Rockford, IL and can be reached out via phone at 815-654-1400 and via fax at 815-654-1488. You can also correspond with Grand Victorian Of Rockford, Llc through the mailing address at 78 CENTENNIAL LOOP, EUGENE, OR - 97401-7900 (mailing address contact number: 541-747-3373).

Location: 3495 Mcfarland Rd, Rockford, IL, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891991550
Provider Name
Grand Victorian Of Rockford, Llc
Credential
Provider Entity Type
Organization
Address
3495 Mcfarland Rd, Rockford, IL, 97401-7900
Phone Number
815-654-1400
Fax Number
815-654-1488
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3495 Mcfarland Rd
City
Rockford
State
Illinois
Zip
61114-5609
Phone Number
815-654-1400
Fax Number
815-654-1488
person
Provider Business Mailing Address Details
Address
3495 Mcfarland Rd
City
Rockford
State
Illinois
Zip
61114-5609
Phone Number
815-654-1400
Fax Number
815-654-1488
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
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Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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