NPI 1215188487
Petersen Health Care, INC
Practice location
- Address
- 144 Jounior Ave., Kewanee, IL 61443
- Phone
- (618) 833-7093
- Mailing address
- 830 W Trailcreek Dr, Peoria, IL 61614-1862
Authorised official
- Name
- Mark Petersen
- Title
- President
- Phone
- (309) 691-8113
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1215188487
- Entity type
- Organization
- NPI issued
- 7 Oct 2008
- Record last updated
- 7 Oct 2008
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.