Organization
TDL GROUP, INC.
Active
Other names
Image House
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LINDSEY (PRESIDENT)
(618) 244-7701
Entity
Organization
Contact information
Practice address
11917 E DIANA RD, MOUNT VERNON, IL 62864-8873
(618) 204-5489
(618) 204-5402
Mailing address
PO BOX 705, MOUNT VERNON, IL 62864-0015
(618) 244-7701
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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