Organization
TEAL LAKE RESIDENTIAL, LLC
Active
Other names
Teal Lake Assissted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
1722 HUNTINGFIELD DR, MEXICO, MO 65265-3786
(573) 582-7800
Mailing address
1722 HUNTINGFIELD DR, MEXICO, MO 65265-3802
(573) 582-7800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
02/02/2026
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