Organization · Type 2 NPI
TDL Group, Inc.
Intellectual Disabilities Intermediate Care Facility · Mc Leansboro, IL
NPI number
1265898266
Active
Practice location
102 S Douglas St
Mc Leansboro, IL 62859-1637
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 1265898266
TDL Group, Inc.'s National Provider Identifier is 1265898266, issued on Jan 6, 2016. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mc Leansboro, IL. The record was last updated on Jan 6, 2016.