TEAL LAKE RESIDENTIAL, LLC

Assisted Living Facility

Active Organization
NPI: 1568419117

Practice Address

1722 HUNTINGFIELD DR
Mexico, MO 65265

Phone: (573) 582-7800

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1568419117 is the National Provider Identifier for TEAL LAKE RESIDENTIAL, LLC, a Assisted Living Facility provider located in Mexico, MO. This NPI was enumerated on May 28, 2006.

Quick Facts

NPI
1568419117
Type
Organization
Enumerated
May 28, 2006
Last Updated
Feb 2, 2026

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