Imboden Creek Gardens LLC
NPI #1891456216 in Decatur, Illinois
Provider Information
- NPI Number
- 1891456216
- Entity Type
- Organization
- Organization Name
- Imboden Creek Gardens LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 7, 2022
- Last Updated
- Aug 11, 2023
Practice Location
Authorized Official
- Name
- MR. SCOTT E STOUT, LNHA
- Title
- OWNER
- Phone
- (618) 294-8696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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