Imboden Creek Living Centers

NPI #1427405075 in Decatur, Illinois

Provider Information

NPI Number: 1427405075
Entity Type: Organization
Organization Name: Imboden Creek Living Centers
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: May 24, 2016
Last Updated: May 24, 2016

Practice Location

Address: 180 W IMBODEN DR
City: Decatur
State: Illinois
ZIP Code: 62521-5238
Phone: (217) 422-7150

Authorized Official

Name: MRS. BEVERLEY KAY BAITY
Title: MEDICARE BILLER
Phone: (217) 422-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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