Kewanee Hco, LLC

NPI #1679106835 in Kewanee, Illinois

Provider Information

NPI Number: 1679106835
Entity Type: Organization
Organization Name: Kewanee Hco, LLC
Primary Specialty: Skilled Nursing Facility
Enumeration Date: Feb 17, 2020
Last Updated: Feb 17, 2020

Practice Location

Address: 144 JUNIOR AVE
City: Kewanee
State: Illinois
ZIP Code: 61443-2554
Phone: (309) 853-4429

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility	314000000X	Primary

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