Organization · Type 2 NPI

Petersen Management Company, LLC

Skilled Nursing Facility · Flora, IL

NPI number 1326004136 Active

Practice location

232 Given Dr
Flora, IL 62839-1094

Call (618) 662-8381 Map

Fax (618) 662-9340

Mailing address

830 W Trailcreek Dr
Peoria, IL 61614-1862

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0046615 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

5 other providers at this address

Other skilled nursing facility providers in Flora

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NPI record

NPI: 1326004136
Entity type: Organization (Type 2)
Issued: Apr 21, 2006
Last updated: May 23, 2013
Status: Active
Subpart: Yes of Petersen Health Care Ii, Inc.

Other names

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Flora Rehabilitation & Health Care Center · doing business as

Authorized official

Mark B. Petersen
President
(309) 691-8113

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326004136

Petersen Management Company, LLC's National Provider Identifier is 1326004136, issued on Apr 21, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Flora, IL. The record was last updated on May 23, 2013.