Organization
PETERSEN HEALTH CARE II, INC.
Active
Other names
Courtyard Estates of Sullivan
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
20 COURTYARD BOULEVARD, SULLIVAN, IL 61951-7001
(217) 728-4300
(217) 728-2165
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
(309) 691-8622
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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