Organization
PETERSEN HEALTH CARE II, INC
Active
Other names
Twin Lakes Rehab & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
310 S EADS AVE, PARIS, IL 61944-1938
(217) 465-5395
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0048223
IL
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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