Organization · Type 2 NPI

TDL Group, Inc.

Intellectual Disabilities Intermediate Care Facility · Mount Vernon, IL

NPI number 1124383153 Active

Practice location

16711 N Old Centralia Ln
Mount Vernon, IL 62864-7697

Call (618) 246-1016 Map

Fax (618) 246-1016

Mailing address

PO Box 705
Mount Vernon, IL 62864-0015

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1124383153

TDL Group, Inc.'s National Provider Identifier is 1124383153, issued on Jul 5, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 5, 2012.