| NPI | 1538697834 |
|---|---|
| Doing Business As | PA PETERSON AT THE CITADEL |
| Entity Type | Organization |
| Authorized Contact | MARCELLA GRAF CFO 224-470-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-10-21 |