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Petersen Health Care Inc
Nursing Facility/Intermediate Care Facility in Havana, Illinois
NPI 1235380478

Petersen Health Care Inc is a Nursing Facility/Intermediate Care Facility based in Peoria, IL. Petersen Health Care Inc practices in Havana, IL. The NPI Number for Petersen Health Care Inc is 1235380478 and holds a License No. 0046086 (Illinois).

The current practice location address for Petersen Health Care Inc is 609 N Harpham St, Havana, IL and can be reached out via phone at 309-543-6121.

Location: 609 N Harpham St, Havana, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235380478
Provider Name
Petersen Health Care Inc
Credential
Provider Entity Type
Organization
Address
609 N Harpham St, Havana, IL, 61614-1862
Phone Number
309-543-6121
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 N Harpham St
City
Havana
State
Illinois
Zip
62644-1249
Phone Number
309-543-6121
Fax Number
person
Provider Business Mailing Address Details
Address
609 N Harpham St
City
Havana
State
Illinois
Zip
62644-1249
Phone Number
309-543-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0046086 (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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