Organization
UNLIMITED DEVELOPMENT, INC.
Active
Other names
UDI 11 Jerseyville Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J WILSON (CFO)
(309) 343-1550
Entity
Organization
Contact information
Practice address
1251 N STATE ST, JERSEYVILLE, IL 62052-1169
(618) 498-6441
(618) 498-9025
Mailing address
1251 N STATE ST, JERSEYVILLE, IL 62052-1169
(618) 498-6441
(618) 498-9025
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371504181
—
IL
Enumeration date
09/19/2005
Last updated
07/17/2009
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