Organization
PETERSEN HEALTH OPERATIONS, LLC
Active
Other names
Countryview Care Center of Macomb
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSEN (MANAGER)
(309) 691-8113
Entity
Organization
Contact information
Practice address
400 W GRANT ST, MACOMB, IL 61455-2867
(309) 837-2386
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0047431
IL
Other
Enumeration date
11/06/2008
Last updated
01/28/2020
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