Organization
PETERSEN HEALTH CARE VII LLC
Active
Other names
Mason Point
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
1 MASONIC WAY, SULLIVAN, IL 61951-9467
(217) 728-7394
(217) 728-4221
Mailing address
1 MASONIC WAY, SULLIVAN, IL 61951-9467
(309) 691-8113
(309) 691-8622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0010249
IL
Other
Enumeration date
01/04/2006
Last updated
07/27/2009
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