Petersen Health Quality, LLC
NPI #1598721383 in Louisville, Illinois
Provider Information
- NPI Number
- 1598721383
- Entity Type
- Organization
- Organization Name
- Petersen Health Quality, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PETERSEN HEALTH CARE, INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 21, 2006
- Last Updated
- Feb 14, 2024
Practice Location
- Address
- 52 OLD RTE 45
- City
- Louisville
- State
- Illinois
- ZIP Code
- 62858-0116
- Phone
- (618) 686-4542
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- PRESIDENT
- Phone
- (309) 691-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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