# TERESA K PARKER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720154941
- **Authorized official:** MRS. TERESA KAY PARKER (OWNER)
- **Authorized official phone:** (573) 814-0823

## Contact information

- **Practice address:** 2650 N LAKELAND DR, COLUMBIA, MO 65202-6972
- **Practice address phone:** (573) 814-0823
- **Practice address fax:** (573) 814-2863
- **Mailing address:** 2650 N LAKELAND DR, COLUMBIA, MO 65202-6972
- **Mailing address phone:** (573) 814-0823
- **Mailing address fax:** (573) 814-2863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 7164529 | MO | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 06/17/2008