Organization · Type 2 NPI
TDL Group, Inc
Intellectual Disabilities Intermediate Care Facility · Belleville, IL
NPI number
1376909374
Active
Practice location
416 Chula Vista Dr
Belleville, IL 62221-3160
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 1376909374
TDL Group, Inc's National Provider Identifier is 1376909374, issued on Jan 6, 2016. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Belleville, IL. The record was last updated on Jan 6, 2016.