Organization
PETERSEN HEALTH CARE, INC.
Active
Other names
Courtyard Estates of Canton
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (PRESIDENT)
(309) 689-5855
Entity
Organization
Contact information
Practice address
160 EAST WALNUT STREET, CANTON, IL 61520-2708
(309) 647-6400
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
12/27/2007
Last updated
12/27/2007
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