Organization · Type 2 NPI
TDL Group, Inc.
Intellectual Disabilities Intermediate Care Facility · Mc Leansboro, IL
NPI number
1346503521
Active
Practice location
RR 1 Box 55
Mc Leansboro, IL 62859-9707
Fax (618) 643-5217
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 1346503521
TDL Group, Inc.'s National Provider Identifier is 1346503521, issued on Jun 21, 2012. 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 Jun 21, 2012.