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Organization

MIDWEST HEALTH OPERATIONS LLC

Active
Other names
Orchard View 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
16827 1410 NORTH AVE, PRINCETON, IL 61356-6871
(815) 875-1196
(815) 872-4408
Mailing address
830 W TRAILCREEK DRIVE, PEORIA, IL 61614
(309) 691-8113
(309) 691-8622

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366006533001
IL
Enumeration date
09/20/2005
Last updated
07/21/2010
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