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Petersen Management Company, Llc
Skilled Nursing Facility in Mount Vernon, Illinois
NPI 1932132115

Petersen Management Company, Llc is a Skilled Nursing Facility based in Peoria, IL. Petersen Management Company, Llc practices in Mount Vernon, IL. The NPI Number for Petersen Management Company, Llc is 1932132115 and holds a License No. (Illinois).

The current practice location address for Petersen Management Company, Llc is 1700 White St, Mount Vernon, IL and can be reached out via phone at 618-242-4075 and via fax at 618-242-4092. You can also correspond with Petersen Management Company, Llc through the mailing address at 830 W TRAILCREEK DR, PEORIA, IL - 61614-1862 (mailing address contact number: 309-691-8113).

Location: 1700 White St, Mount Vernon, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932132115
Provider Name
Petersen Management Company, Llc
Credential
Provider Entity Type
Organization
Address
1700 White St, Mount Vernon, IL, 61614-1862
Phone Number
618-242-4075
Fax Number
618-242-4092
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
743055934014 05 IL
institution
Provider Business Practice Location Address Details
Address
1700 White St
City
Mount Vernon
State
Illinois
Zip
62864-4349
Phone Number
618-242-4075
Fax Number
618-242-4092
person
Provider Business Mailing Address Details
Address
830 W Trailcreek Dr
City
Peoria
State
Illinois
Zip
61614-1862
Phone Number
309-691-8113
Fax Number
309-691-8622
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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