Organization
LIVING CENTERS INC
Active
Other names
ICG Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA S LUTHER MA (COO)
(217) 422-7150
Entity
Organization
Contact information
Practice address
185 W IMBODEN DR, DECATUR, IL 62521-5251
(217) 233-1425
(217) 233-1777
Mailing address
180 W IMBODEN DR, DECATUR, IL 62521-5238
(217) 422-7150
(217) 422-9418
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
10/10/2007
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