Organization
UNLIMITED DEVELOPMENT, INC
Active
Other names
UDI 5 LLC Manor Court of Carbondale
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J WILSON (CFO)
(309) 343-1550
Entity
Organization
Contact information
Practice address
2940 W WESTRIDGE PLACE, CARBONDALE, IL 62901-1082
(618) 457-1010
(618) 351-9226
Mailing address
2940 W WESTRIDGE PLACE, CARBONDALE, IL 62901-1082
(618) 457-1010
(618) 351-9226
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0052894
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052894
LICENSE
IL
Enumeration date
07/23/2014
Last updated
07/23/2014
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