PA Peterson LLC

NPI #1891108668 in Rockford, Illinois

Provider Information

NPI Number
1891108668
Entity Type
Organization
Organization Name
PA Peterson LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 9, 2014
Last Updated
Jun 9, 2014

Practice Location

Address
1311 PARKVIEW AVE
ZIP Code
61107-1818
Phone
(815) 399-8832

Authorized Official

Name
MS. FRANCES MEEHAN
Title
ATTORNEY
Phone
(312) 521-2467

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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