Organization · Type 2 NPI
Petersen Health Care, Inc
Nursing Facility/Intermediate Care Facility · Kewanee, IL
Practice location
144 Jounior Ave.
Kewanee, IL 61443
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 0026518 (IL) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
About NPI 1215188487
Petersen Health Care, Inc's National Provider Identifier is 1215188487, issued on Oct 7, 2008. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Kewanee, IL. The record was last updated on Oct 7, 2008.