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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETERSEN MANAGEMENT COMPANY, LLC

Active Organization

PETERSEN MANAGEMENT COMPANY, LLC is a Nursing Facility/Intermediate Care Facility organization located in MOUNT VERNON, Illinois. NPI 1780767897 is currently active in the NPPES registry. Verify at CMS.

Nursing Facility/Intermediate Care Facility · MOUNT VERNON, IL

Registration Details

NPI Number
1780767897
Provider Type
Organization
NPI Issued
Oct 23, 2006 (19.820425694466 yrs)
Last Updated
May 30, 2013
License
0039800 (IL)

Practice Information

Address
5 DOCTORS PARK RD
MOUNT VERNON, IL, 628646224
Browse IL providers · Browse ZIP 62864
Phone
6182421064
Fax
6182427559

Other Nursing Facility/Intermediate Care Facility Organizations in MOUNT VERNON, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.