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Organization
TERESA K PARKER
Active
Organization
TERESA K PARKER
Active
Other names
TLC Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA KAY PARKER (OWNER)
(573) 814-0823
Entity
Organization
Contact information
Practice address
2650 N LAKELAND DR, COLUMBIA, MO 65202-6972
(573) 814-0823
(573) 814-2863
Mailing address
2650 N LAKELAND DR, COLUMBIA, MO 65202-6972
(573) 814-0823
(573) 814-2863
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7164529
MO
Other
Enumeration date
11/28/2006
Last updated
06/17/2008
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