Petersen Health Care Ii, INC

NPI #1578714713 in Mattoon, Illinois

Provider Information

NPI Number
1578714713
Entity Type
Organization
Organization Name
Petersen Health Care Ii, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 7, 2008
Last Updated
Oct 7, 2008

Practice Location

Address
1000 PALM AVE
ZIP Code
61938-6031
Phone
(217) 234-7403

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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