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Organization

PETERSEN HEALTH NETWORK, LLC

Active
Other names
Nokomis Rehabilitation & Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK B PETERSEN (PRESIDENT)
(309) 691-8113
Entity
Organization

Contact information

Practice address
505 STEVENS ST, NOKOMIS, IL 62075-1442
(217) 563-7725
(217) 563-8518
Mailing address
830 W TRAILCREEK DR, PEORIA, IL 61614-1862
(309) 691-8113
(309) 691-8622

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1652779
IL

Other

Enumeration date
10/11/2005
Last updated
02/02/2017
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