Organization
BONUM INC
Active
Other names
Meadowood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW CUNNINGHAM (ADMINISTRATOR)
(618) 375-2171
Entity
Organization
Contact information
Practice address
320 S 2ND ST, GRAYVILLE, IL 62844-1527
(618) 375-2171
(618) 375-7756
Mailing address
320 SOUTH SECOND STREET, GRAYVILLE, IL 62844-1567
(618) 375-2171
(618) 375-7756
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0019356
IL
314000000X
Skilled Nursing Facility
Primary
0019356
IL
Other
Enumeration date
09/05/2006
Last updated
09/11/2025
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