Organization
PETERSEN HEALTH JUNCTION, LLC
Active
Parent organization
PETERSEN HEALTH CARE, INC.
Other names
Sunset Rehabilitation & Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETERSEN HEALTH CARE, INC.
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
129 S 1ST AVE, CANTON, IL 61520-2612
(309) 647-4327
(309) 647-4354
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
(309) 691-8622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37-1068286001
—
IL
Enumeration date
04/21/2006
Last updated
02/14/2024
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