Petersen Health & Wellness, Llc
Petersen Health & Wellness, Llc is a health care provider in Peoria, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 1203 Egyptian Trl, Tuscola, IL 61953-2050, US |
|Practice Location Phone||217-253-4791|
|Practice Location Fax||217-253-3754|
|Legal Business Name||PETERSEN HEALTH & WELLNESS, LLC|
|Enumeration Date ? ||Sep 25, 2006|
|Last Update Date ? ||Dec 27, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Petersen Health & Wellness, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|| ||0046805||Illinois|
Legacy Provider IDs of Petersen Health & Wellness, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Petersen Health & Wellness, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Petersen Health & Wellness, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Mark B. Petersen|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||309-691-8113|