Petersen Management Company, LLC

NPI #1487610291 in Mattoon, Illinois

Provider Information

NPI Number
1487610291
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
1000 PALM AVE
ZIP Code
61938-6031
Phone
(217) 234-7403

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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