Organization
PETERSEN HEALTH OPERATIONS, LLC
Active
Other names
Ozark Rehabilitation & Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK B PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
1083 OZARK CARE DR, BOX 270, OSAGE BEACH, MO 65065-3016
(573) 348-1711
(573) 348-1713
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
032155
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101773406
—
MO
Enumeration date
06/19/2006
Last updated
04/13/2022
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