Whalio Doctors

NPI 1215188487

Petersen Health Care, INC

Organisation Nursing Facility/Intermediate Care Facility Kewanee, IL

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
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0026518 (IL)

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.