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Organization

EASTVIEW HCO, LLC

Active
Parent organization
PETERSEN HEALTH CARE, INC
Other names
Eastview Terrace
Organization subpart
Yes

Provider details

NPI number
Legal business name
PETERSEN HEALTH CARE, INC
Authorized official
MARK B. PETERSEN (MANAGER)
(309) 689-5880
Entity
Organization

Contact information

Practice address
100 EASTVIEW PL, SULLIVAN, IL 61951-1674
(217) 728-7367
(217) 728-2112
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
0046060
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37-1068286009
IL
Enumeration date
04/27/2006
Last updated
09/28/2020
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