Petersen Health Operations

NPI #1548414550 in East Peoria, Illinois

Provider Information

NPI Number
1548414550
Entity Type
Organization
Organization Name
Petersen Health Operations
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 5, 2008
Last Updated
Nov 5, 2008

Practice Location

Address
901 ILLINI DR
ZIP Code
61611-1840
Phone
(309) 694-6446

Authorized Official

Name
MARK PETERSEN
Title
MANAGER
Phone
(309) 691-8113

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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