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
Authorized Official Name Petersen B. Mark
Telephone Number 3096918113

NPI Number Detail

NPI Number 1326004136
Provider Enumeration Date 2006-04-21
Last Updated Date 2013-05-23

Provider Mailing Address Detail

Address 232 Given Dr
City Flora
State Illinois (IL)
Post Code 628391094
Phone Number 6186628381
Fax Number 6186629340

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
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 --

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FAQs about Petersen Management Company, Llc

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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