Fondulac Rehabilitation & Health Care Center

LBN: Petersen Health Operations, Llc
Fondulac Rehabilitation & Health Care Center is an health care organization with primary practice located at 901 Illini Dr , East Peoria IL 61611-1840. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Petersen Health Operations, Llc can be contacted via phone (309) 694-6446, or through Petersen, Mark B. via phone (309) 691-8113.

Contact Information

Primary practice address
901 Illini Dr East Peoria IL 61611-1840
Phone: (309) 694-6446
Fax: (309) 694-8705
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 691-8113

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0047472 Illinois

Profile Details

NPI number 1235176504
LBN Legal business name Petersen Health Operations, Llc
DBA Doing business as Fondulac Rehabilitation & Health Care Center
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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