TEAL LAKE RESIDENTIAL, LLC
Assisted Living Facility
Mexico, Missouri
Provider NPI: 1568419117
Organization Information:Organization Name: TEAL LAKE RESIDENTIAL, LLC
Practice Location:
1722 HUNTINGFIELD DR MEXICO, MO 65265 US
Tel: 573-582-7800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1722 HUNTINGFIELD DR MEXICO, MO 65265 US
Tel: 573-582-7800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |