NPI 1609027846

Petersen Health Care, INC

Organisation Skilled Nursing Facility Sullivan, IL

Practice location

Address: 100 Eastview Pl, Sullivan, IL 61951-1674
Phone: (217) 728-7367
Mailing address: 830 W Trailcreek Dr, Peoria, IL 61614-1862

Authorised official

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

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0046060 (IL)

Other Skilled Nursing Facility providers in Illinois →

Registry record

NPI: 1609027846
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.