Organization
PA PETERSON LLC
Active
Other names
The Villa at PA Peterson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES MEEHAN (ATTORNEY)
(312) 521-2467
Entity
Organization
Contact information
Practice address
1311 PARKVIEW AVE, ROCKFORD, IL 61107-1818
(815) 399-8832
(815) 399-8342
Mailing address
6400 SHAFER CT, SUITE 475, ROSEMONT, IL 60018-4914
(815) 399-8832
(815) 399-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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