| 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 |