Organization · Type 2 NPI

Watseka Hco, LLC

Skilled Nursing Facility · Watseka, IL

NPI number 1811953532 Active

Practice location

715 E Raymond Rd
Watseka, IL 60970-9730

Call (815) 432-5476 Map

Fax (815) 432-5669

Mailing address

830 W Trailcreek Dr
Peoria, IL 61614-1862

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0046847 (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…

9 other providers at this address

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NPI record

NPI: 1811953532
Entity type: Organization (Type 2)
Issued: Apr 21, 2006
Last updated: Nov 30, 2020
Status: Active

Other names

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Watseka Rehabilitation & Health Care Center · doing business as
Watseka Rehabilitation & Health Care Center · doing business as

Authorized official

Mark B. Petersen
Manager
(309) 689-5880

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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 1811953532

Watseka Hco, LLC's National Provider Identifier is 1811953532, issued on Apr 21, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Watseka, IL. The record was last updated on Nov 30, 2020.