Organization
PETERSEN HEALTH & WELLNESS, LLC
Active
Other names
Rock Falls 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
430 MARTIN RD, ROCK FALLS, IL 61071-1954
(816) 623-6457
(816) 626-2381
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
—
20-3224201041
—
IL
Enumeration date
06/04/2006
Last updated
07/15/2016
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