NPI 1003943705

Petersen Health Business, LLC

Organisation Skilled Nursing Facility La Harpe, IL

Practice location

Address: 101 North B Street, La Harpe, IL 61450-0547
Phone: (217) 659-3222
Fax: (217) 659-3017
Mailing address: 830 W Trailcreek Drive, Peoria, IL 61614

Authorised official

Name: Mark B Petersen
Title: President
Phone: (309) 691-8113

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0035741 (IL)

Other Skilled Nursing Facility providers in Illinois →

Registry record

NPI: 1003943705
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 22 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.