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NPI 1376794511

OrganizationActive

Petersen Health Care II, Inc.

NPI 1376794511 · Skilled Nursing Facility · Sullivan, IL

Provider details

NPI number: 1376794511
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Mark Petersen, Manager(309) 689-5880
License: 0046425 (IL)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 0046425 (IL)
Nursing & Custodial Care Facilities

Practice location

11 Hawthorne Ln

Sullivan, IL 61951-9490

Phone: (217) 728-4327

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

830 W Trailcreek Dr

Peoria, IL 61614-1862

Other names (DBA / former)

Doing business as: Sullivan Rehabilitation & Health Care Center
Doing business as: Sullivan Rehabilitation & Health Care Center

Registry dates

Enumerated: 2008-10-07
Last updated: 2020-05-19
Certified: 2020-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Petersen Health Care II, Inc. — NPI 1376794511, Sullivan, IL | NPI Central