Petersen Management Company, LLC

NPI #1326004136 in Flora, Illinois

Provider Information

NPI Number
1326004136
Entity Type
Organization
Organization Name
Petersen Management Company, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PETERSEN HEALTH CARE II, INC.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 21, 2006
Last Updated
May 23, 2013

Practice Location

Address
232 GIVEN DR
City
Flora
ZIP Code
62839-1094
Phone
(618) 662-8381

Authorized Official

Name
MARK B. PETERSEN
Title
PRESIDENT
Phone
(309) 691-8113

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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