Organization · Type 2 NPI

TDL Group, Inc.

Intellectual Disabilities Intermediate Care Facility · Mount Vernon, IL

NPI number 1972902534 Active

Practice location

11917 E Diana Rd
Mount Vernon, IL 62864-8873

Call (618) 204-5489 Map

Fax (618) 204-5402

Mailing address

PO Box 705
Mount Vernon, IL 62864-0015

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1972902534

TDL Group, Inc.'s National Provider Identifier is 1972902534, issued on Aug 20, 2014. 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 Aug 20, 2014.