Havana Hco, LLC
NPI #1346206315 in Havana, Illinois
Provider Information
- NPI Number
- 1346206315
- Entity Type
- Organization
- Organization Name
- Havana Hco, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PETERSEN HEALTH CARE, INC.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Sep 28, 2020
Practice Location
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- MANAGER
- Phone
- (309) 689-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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