Organization · Type 2 NPI
TDL Group, Inc.
Intellectual Disabilities Intermediate Care Facility · Belleville, IL
NPI number
1407119696
Active
Practice location
105 Kensington Heights Rd
Belleville, IL 62226-5030
Fax (618) 234-3410
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 1407119696
TDL Group, Inc.'s National Provider Identifier is 1407119696, issued on Jun 21, 2012. 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 Jun 21, 2012.