Organization
PETERSEN HEALTH CARE ROSEVILLE LLC
Active
Other names
Roseville Rehabilitation & Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSEN (MANAGER)
(309) 691-8113
Entity
Organization
Contact information
Practice address
145 S CHAMBERLAIN ST, ROSEVILLE, IL 61473-9581
(309) 691-8113
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/20/2010
Last updated
02/14/2024
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