Organization
UNLIMITED DEVELOPMENT INC.
Active
Other names
UDI 8 Centralia Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J WILSON (CFO)
(309) 343-1550
Entity
Organization
Contact information
Practice address
1910 E MCCORD, CENTRALIA, IL 62801-6586
(618) 533-1200
(618) 533-1257
Mailing address
1910 E MCCORD, CENTRALIA, IL 62801-6586
(618) 533-1200
(618) 533-1257
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
47225
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371223745002
—
IL
Enumeration date
09/22/2005
Last updated
07/30/2009
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