Organization
PETERSEN HEALTH OPERATIONS, LLC
Active
Other names
Timbercreek Rehabilitation & Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
2220 STATE ST, PEKIN, IL 61554-3937
(309) 347-1110
(309) 347-2135
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
0047522
IL
Other
Enumeration date
09/25/2006
Last updated
01/19/2022
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