Udy, Madison Nicole

Udy, Madison Nicole is an sole proprietor health care provider with primary practice located at 1011 S Grand Ave W , Springfield IL 62704-3550. She recently has 4 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Udy, Madison Nicole can be contacted via phone (801) 592-5375.

Contact Information

Primary practice address
1011 S Grand Ave W Springfield IL 62704-3550
Phone: (801) 592-5375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / In Home Supportive Care 253Z00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1619672813
LBN Legal business name Udy, Madison Nicole
Credentials BSHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2023
Last updated Apr 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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