Organization
TED-LEA, INC.
Active
Other names
The Boarding Inn
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MARBERRY (VICE PRESIDENT/MANAGER)
(314) 426-0091
Entity
Organization
Contact information
Practice address
9444 MIDLAND BLVD, OVERLAND, MO 63114-3328
(314) 426-0091
(314) 426-0099
Mailing address
9444 MIDLAND BLVD, OVERLAND, MO 63114-3328
(314) 426-0091
(314) 426-0099
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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