PETERSEN HEALTH RESOURCES LLC NPI 1932209160

NPI Information

PETERSEN HEALTH RESOURCES, LLC is an assisted living facility in Casey, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PETERSEN HEALTH RESOURCES, LLC NPI is 1932209160. The provider is registered as an organization entity type.
The provider Is Doing Business As Simple Blessings.

The provider's business location address is:

203 E MONROE AVE
CASEY, IL
ZIP 62420-764
Phone: (217) 932-2603
Fax: (217) 932-5150

The provider's authorized official is Mark B. Petersen .
The authorized official title is President and has the following contact phone number (309) 691-8113.

The CLIA number assigned to this NPI record is 14D2192579 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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