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Petersen Health Care
Nursing Facility/Intermediate Care Facility in Canton, Illinois
NPI 1689825820

Petersen Health Care is a Nursing Facility/Intermediate Care Facility based in Peoria, IL. Petersen Health Care practices in Canton, IL. The NPI Number for Petersen Health Care is 1689825820 and holds a License No. 0026518 (Illinois).

The current practice location address for Petersen Health Care is 129 S 1St Ave, Canton, IL and can be reached out via phone at 309-691-8113.

Location: 129 S 1St Ave, Canton, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689825820
Provider Name
Petersen Health Care
Credential
Provider Entity Type
Organization
Address
129 S 1St Ave, Canton, IL, 61614-1862
Phone Number
309-691-8113
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
129 S 1St Ave
City
Canton
State
Illinois
Zip
61520-2612
Phone Number
309-691-8113
Fax Number
person
Provider Business Mailing Address Details
Address
129 S 1St Ave
City
Canton
State
Illinois
Zip
61520-2612
Phone Number
309-691-8113
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0026518 (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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