NPI 1891456216
Imboden Creek Gardens LLC
Practice location
- Address
- 185 W Imboden Dr, Decatur, IL 62521-5251
- Phone
- (217) 233-1425
- Mailing address
- 215 E Locust St, Harrisburg, IL 62946-1504
Authorised official
- Name
- Scott E Stout
- Title
- Owner
- Phone
- (618) 294-8696
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1891456216
- Entity type
- Organization
- NPI issued
- 7 Jan 2022
- Record last updated
- 11 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.