PH
PETERSEN HEALTH CARE ROSEVILLE LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
ROSEVILLE, IL
Licensed since
2010
Rate
—
Federal identifiers
NPI registry number1710201793
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2023-07-31
Authorized official
NameMARK PETERSEN
TitleMANAGER
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