Petersen Health Network, Llc
Petersen Health Network, 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|| 505 Stevens St, Nokomis, IL 62075-1442, US |
|Practice Location Phone||217-563-7725|
|Practice Location Fax||217-563-8518|
|Legal Business Name||PETERSEN HEALTH NETWORK, LLC|
|Other Organization Name||NOKOMIS REHABILITATION & HEALTH CARE CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Oct 11, 2005|
|Last Update Date ? ||Feb 2, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Petersen Health Network, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|| ||1652779||Illinois|
Legacy Provider IDs of Petersen Health Network, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Petersen Health Network, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Petersen Health Network, 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 ||Mr. Mark B Petersen|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||309-691-8113|