Organization · Type 2 NPI
Petersen Health Care
Nursing Facility/Intermediate Care Facility · Canton, IL
Practice location
129 S 1st Ave
Canton, IL 61520-2612
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…
2 other providers at this address
About NPI 1689825820
Petersen Health Care's National Provider Identifier is 1689825820, issued on Oct 7, 2008. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Canton, IL. The record was last updated on Oct 7, 2008.