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Organization

PETERSEN HEALTH CARE - FARMER CITY, LLC

Active
Other names
Farmer City Rehab & Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK PETERSEN (MANAGER)
(309) 691-8113
Entity
Organization

Contact information

Practice address
404 BROOKVIEW DR, FARMER CITY, IL 61842-9746
(309) 691-8113
(309) 689-8622
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
(309) 691-1862

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000041251
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300318970008
IL
Enumeration date
01/11/2006
Last updated
01/28/2020
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