Organization
PETERSEN HEALTH BUSINESS, LLC
Active
Other names
Sandwich Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (MANAGER)
(309) 691-8113
Entity
Organization
Contact information
Practice address
902 E ARNOLD ST, SANDWICH, IL 60548-1119
(815) 786-8409
(815) 786-3830
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203224201001
—
IL
Enumeration date
07/14/2006
Last updated
06/15/2015
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