Organization
PETERSEN HEALTH SYSTEMS, INC.
Active
Other names
Legacy Estates of Monmouth
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
1200 W BROADWAY, MONMOUTH, IL 61462-1679
(309) 734-0909
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
04/20/2008
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