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Organization

PETERSEN HEALTH OPERATIONS

Active
Other names
Fondulac Rehabilitation & Health Care Center
Organization subpart
No

Provider details

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

Contact information

Practice address
901 ILLINI DR, EAST PEORIA, IL 61611-1840
(309) 694-6446
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
0047472
IL

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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