Organization
PETERSEN COMPANIES, LLC
Active
Other names
Cumberland Rehab & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
300 N MARIETTA ST, GREENUP, IL 62428-1103
(217) 923-3186
(217) 923-5226
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
(309) 691-8622
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0004929
IL
Other
Enumeration date
10/04/2006
Last updated
10/07/2008
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