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Organization
PETERSEN HEALTH NETWORK, LLC
Active
Organization
PETERSEN HEALTH NETWORK, LLC
Active
Other names
Whispering Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
201 SPRING STREET, ROSICLARE, IL 62982
(618) 285-6974
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
01/14/2017
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