Organization
TDL GROUP, INC.
Active
Other names
Focal Point
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LINDSEY (PRESIDENT)
(618) 244-7701
Entity
Organization
Contact information
Practice address
709 E SAINT CHARLES AVE, MC LEANSBORO, IL 62859-1450
(618) 643-2030
(618) 643-2032
Mailing address
PO BOX 705, MOUNT VERNON, IL 62864-0015
(618) 244-7704
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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