OrganizationActive
Petersen Health Care Vii LLC
NPI 1194703702 · Skilled Nursing Facility · Sullivan, IL
Provider details
- NPI number
- 1194703702
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, President(309) 691-8113
- License
- 0010249 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1 Masonic Way
Sullivan, IL 61951-9467
Phone: (217) 728-7394
Fax: (217) 728-4221
Approximate (ZIP-level) locationGet directions
Mailing address
1 Masonic Way
Sullivan, IL 61951-9467
Other names (DBA / former)
- Doing business as
- Mason Point
Registry dates
- Enumerated
- 2006-01-04
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.