Organization
PETERSEN HEALTH CARE II, INC.
Active
Other names
Sullivan Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (MANAGER)
(309) 689-5880
Entity
Organization
Contact information
Practice address
11 HAWTHORNE LN, SULLIVAN, IL 61951-9490
(217) 728-4327
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046425
IL
Other
Enumeration date
10/07/2008
Last updated
05/19/2020
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