Organization
PETERSEN HEALTH SYSTEMS, INC.
Active
Other names
Courtyard Estates of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
117 N WESTERN AVE, PEORIA, IL 61604-5629
(309) 674-2400
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
09/24/2011
Last updated
09/24/2011
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