Organization
PETERSEN HEALTH OPERATIONS, LLC
Active
Other names
McLeansboro 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
405 W CARPENTER ST, MC LEANSBORO, IL 62859-1012
(618) 643-3728
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
0047984
IL
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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