Organization
PETERSEN HEALTH OPERATIONS, LLC
Active
Other names
Bloomington Rehabiliation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSEN (MANAGER)
(309) 691-8113
Entity
Organization
Contact information
Practice address
1925 S MAIN ST, BLOOMINGTON, IL 61704-7313
(309) 829-4348
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
0047415
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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