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NPI Code Detail

MEDICARE: UNLIMITED DEVELOPMENT INC.

MEDICARE: UNLIMITED DEVELOPMENT INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility47225IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689660961
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNLIMITED DEVELOPMENT INC.
Provider Business Mailing Address
First Line : 1910 E MCCORD
Second Line :
City : CENTRALIA
State : IL
Zip : 62801-6586
Country : US
Telephone Number : 618-533-1200
Fax Number : 618-533-1257
Provider Business Practice Location Address
First Line : 1910 E MCCORD
Second Line :
City : CENTRALIA
State : IL
Zip : 62801-6586
Country : US
Telephone Number : 618-533-1200
Fax Number : 618-533-1257
Authorized Official
Title or Position : CFO
Name : MR. RONALD J WILSON
Credential :
Telephone Number : 309-343-1550
Provider Enumeration Date : 09/22/2005
Last Update Date : 07/30/2009

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