Unlimited Development, INC
Skilled Nursing Facility in Maryville, IL. Organization (NPI-2).
NPI number1013904366
StatusActive
Last updated in NPPESJan 13, 2011
Details
- NPI
- 1013904366
- Entity type
- Organization (NPI-2)
- Legal business name
- Unlimited Development, INC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2005
- Last updated
- Jan 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 48462 | IL | Yes |
Other names
- Udi No2 Manor Court Of Maryville (Doing Business As)
Practice location
6955 State Route 162Maryville, IL 62062-8531
Phone 618-288-5999 · Fax 618-288-1106
Mailing address
6955 State Route 162Maryville, IL 62062-8531
Phone 618-288-5999 · Fax 618-288-1106
Authorized official
Ronald J Wilson
Cfo
3093431550
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