NPI | 1790782308 |
---|---|
Doing Business As | IMBODEN CREEK LIVING CENTER |
Entity Type | Organization |
Authorized Contact | RHONDA LUTHER COO 217-422-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0036574) |
Enumeration Date | 2005-06-29 |
Last Update Date | 2008-04-20 |