Organization
PETERSEN HEALTH BUSINESS, LLC
Active
Other names
LaHarpe Davier HCC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
101 NORTH B STREET, LA HARPE, IL 61450-0547
(217) 659-3222
(217) 659-3017
Mailing address
830 W TRAILCREEK DRIVE, PEORIA, IL 61614
(309) 691-8113
(309) 691-8622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0035741
IL
Other
Enumeration date
02/28/2007
Last updated
07/22/2015
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