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1790318954
DECATUR HCO, LLC
DECATUR, IL
NPI
1790318954
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Entity Type
Organization
Authorized Contact
MARK B. PETERSEN
Manager
309-691-8113
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
DECATUR HCO, LLC
136 S DIPPER LN
DECATUR, IL 62522-1841
Phone number: 217-428-7767
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Mailing Address
DECATUR HCO, LLC
830 W TRAILCREEK DR
PEORIA, IL 61614-1862
Phone number: 309-689-5880
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