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Petersen Health Operations, Llc
Nursing Facility/Intermediate Care Facility in Cisne, Illinois
NPI 1225071442

Petersen Health Operations, Llc is a Nursing Facility/Intermediate Care Facility based in Peoria, IL. Petersen Health Operations, Llc practices in Cisne, IL. The NPI Number for Petersen Health Operations, Llc is 1225071442 and holds a License No. 0047423 (Illinois).

The current practice location address for Petersen Health Operations, Llc is 107 N Watkins Street, Cisne, IL and can be reached out via phone at 618-673-2177 and via fax at 618-673-2309.

Location: 107 N Watkins Street, Cisne, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225071442
Provider Name
Petersen Health Operations, Llc
Credential
Provider Entity Type
Organization
Address
107 N Watkins Street, Cisne, IL, 61614-1862
Phone Number
618-673-2177
Fax Number
618-673-2309
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
107 N Watkins Street
City
Cisne
State
Illinois
Zip
62823
Phone Number
618-673-2177
Fax Number
618-673-2309
person
Provider Business Mailing Address Details
Address
107 N Watkins Street
City
Cisne
State
Illinois
Zip
62823
Phone Number
618-673-2177
Fax Number
618-673-2309
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0047423 (Illinois)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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