Organization · Type 2 NPI
TDL Group, Inc.
Intellectual Disabilities Intermediate Care Facility · Mount Vernon, IL
NPI number
1255797254
Active
Practice location
9135 N Spring Garden Ln
Mount Vernon, IL 62864-6624
Mailing address
PO Box 705
Mount Vernon, IL 62864-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1255797254
TDL Group, Inc.'s National Provider Identifier is 1255797254, issued on Jan 6, 2016. 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 Jan 6, 2016.