Organization · Type 2 NPI
Petersen Health Resources, LLC
Assisted Living Facility · Casey, IL
NPI number
1932209160
Active
Practice location
203 E Monroe Ave
Casey, IL 62420-1764
Fax (217) 932-5150
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | APPLIED FOR (IL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1932209160
Petersen Health Resources, LLC's National Provider Identifier is 1932209160, issued on Sep 25, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Casey, IL. The record was last updated on Aug 22, 2020.