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Petersen Health Network, Llc
Intellectual Disabilities Intermediate Care Facility in Rosiclare, Illinois
NPI 1659405850

Petersen Health Network, Llc is a Intellectual Disabilities Intermediate Care Facility based in Peoria, IL. Petersen Health Network, Llc practices in Rosiclare, IL. The NPI Number for Petersen Health Network, Llc is 1659405850 and holds a License No. (Illinois).

The current practice location address for Petersen Health Network, Llc is 201 Spring Street, Rosiclare, IL and can be reached out via phone at 618-285-6974.

Location: 201 Spring Street, Rosiclare, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659405850
Provider Name
Petersen Health Network, Llc
Credential
Provider Entity Type
Organization
Address
201 Spring Street, Rosiclare, IL, 61614-1862
Phone Number
618-285-6974
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Spring Street
City
Rosiclare
State
Illinois
Zip
62982
Phone Number
618-285-6974
Fax Number
person
Provider Business Mailing Address Details
Address
201 Spring Street
City
Rosiclare
State
Illinois
Zip
62982
Phone Number
618-285-6974
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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