Petersen Companies, LLC

NPI #1962654145 in Flora, Illinois

Provider Information

NPI Number
1962654145
Entity Type
Organization
Organization Name
Petersen Companies, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 21, 2008
Last Updated
Oct 21, 2008

Practice Location

Address
701 SHADWELL AVE
City
Flora
ZIP Code
62839-2310
Phone
(618) 662-8361

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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