Provider Demographics
NPI:1376994095
Name:ROLLING HILLS PROGRESS CENTER
Entity Type:Organization
Organization Name:ROLLING HILLS PROGRESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUMLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-493-2321
Mailing Address - Street 1:201 IL ROUTE 64
Mailing Address - Street 2:
Mailing Address - City:LANARK
Mailing Address - State:IL
Mailing Address - Zip Code:61046-8903
Mailing Address - Country:US
Mailing Address - Phone:815-493-2321
Mailing Address - Fax:
Practice Address - Street 1:201 IL ROUTE 64
Practice Address - Street 2:
Practice Address - City:LANARK
Practice Address - State:IL
Practice Address - Zip Code:61046-8903
Practice Address - Country:US
Practice Address - Phone:815-493-2321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services