Organization
UNLIMITED DEVELOPMENT, INC
Active
Other names
UDI 3 Shelbyville Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J WILSON (CFO)
(309) 343-1550
Entity
Organization
Contact information
Practice address
1111 WEST NORTH 12TH ST, SHELBYVILLE, IL 62565-9554
(217) 774-2111
(217) 774-2209
Mailing address
1111 WEST NORTH 12TH ST, SHELBYVILLE, IL 62565-9554
(217) 774-2111
(217) 774-2209
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1793553
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201313843
—
IL
Enumeration date
09/21/2005
Last updated
11/06/2009
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