Organization
PETERSEN HEALTH RESOURCES, LLC
Active
Other names
Simple Blessings
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization
Contact information
Practice address
203 E MONROE AVE, CASEY, IL 62420-1764
(217) 932-2603
(217) 932-5150
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
(309) 691-8622
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
APPLIED FOR
IL
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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