Petersen Health Operations, LLC
NPI #1497712228 in Bloomington, Illinois
Provider Information
- NPI Number
- 1497712228
- Entity Type
- Organization
- Organization Name
- Petersen Health Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1925 S MAIN ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7301
- Phone
- (309) 829-4248
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- MANAGER
- Phone
- (309) 691-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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