Petersen Management Company, Llc in Flora - Skilled Nursing Facility
Petersen Management Company, Llc - NPI 1326004136
Petersen Management Company, Llc is a Skilled Nursing Facility in Flora, Illinois. Petersen Management Company, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Petersen Management Company, Llc is 1326004136. The last update date is 2013-05-23.
Petersen Management Company, Llc's current location address is 232 Given Dr, Flora, Illinois. You can contact this provider via phone number 6186628381 and fax number 6186629340. The mailing address for Petersen Management Company, Llc is 232 Given Dr, Flora, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Petersen Management Company, Llc |
---|---|
Address | 232 Given Dr, Flora, Illinois |
Phone Number | 6186628381 |
Fax Number | 6186629340 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Petersen B. Mark |
Telephone Number | 3096918113 |
NPI Number Detail
NPI Number | 1326004136 |
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Provider Enumeration Date | 2006-04-21 |
Last Updated Date | 2013-05-23 |
Provider Mailing Address Detail
Address | 232 Given Dr |
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City | Flora |
State | Illinois (IL) |
Post Code | 628391094 |
Phone Number | 6186628381 |
Fax Number | 6186629340 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 46615 |
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 serv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
74-3055934009 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Petersen Management Company, Llc by the Centers for Medicare & Medicaid Services?
The Petersen Management Company, Llc has been assigned the NPI (National Provider Identifier) 1326004136. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Petersen Management Company, Llc is physically located?
The Petersen Management Company, Llc is situated at the following address: 232 Given Dr, Flora, IL 628391094.
What is Petersen Management Company, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Petersen Management Company, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When did Petersen Management Company, Llc receive its 1326004136 assignment?
The Petersen Management Company, Llc was assigned its 1326004136 on 2006-04-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Petersen Management Company, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Petersen Management Company, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-23.
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