Organization
TWIN HCO, LLC
Active
Other names
Twin Lakes Rehabilitation & Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. PETERSEN (MANAGER)
(309) 689-5880
Entity
Organization
Contact information
Practice address
310 S EADS AVE, PARIS, IL 61944-1938
(217) 465-5395
(217) 463-7905
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
0041442
IL
Other
Enumeration date
09/25/2006
Last updated
09/14/2020
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