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Organization

IMBODEN CREEK GARDENS LLC

Active
Other names
Imboden Creek Gardens
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT E STOUT LNHA (OWNER)
(618) 294-8696
Entity
Organization

Contact information

Practice address
185 W IMBODEN DR, DECATUR, IL 62521-5251
(217) 233-1425
Mailing address
215 E LOCUST ST, HARRISBURG, IL 62946-1504
(618) 294-8696
(618) 294-8699

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
01/07/2022
Last updated
08/11/2023
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