Organization
PETERSEN MANAGEMENT COMPANY, LLC
Active
Parent organization
PETERSEN HEALTH CARE II, INC.
Other names
Flora Rehabilitation & Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETERSEN HEALTH CARE II, INC.
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
232 GIVEN DR, FLORA, IL 62839-1094
(618) 662-8381
(618) 662-9340
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
0046615
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74-3055934009
—
IL
Enumeration date
04/21/2006
Last updated
05/23/2013
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