Organization
TARKIO HCO, LLC
Active
Other names
Tarkio Rehabilitation & Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (MANAGER)
(309) 689-5880
Entity
Organization
Contact information
Practice address
300 CEDAR ST, TARKIO, MO 64491-1174
(660) 736-4116
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
09/02/2020
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