Organization
TDL GROUP, INC
Active
Other names
Flare House
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LINDSEY (PRESIDENT)
(618) 922-0143
Entity
Organization
Contact information
Practice address
212 TURNING LEAF CIR, BELLEVILLE, IL 62221-6747
(618) 416-7909
Mailing address
PO BOX 705, MOUNT VERNON, IL 62864-0015
(618) 244-7701
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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