<Unavail>

LBN: Teal Lake Residential, Llc
<Unavail> is an health care organization with primary practice located at 1722 Huntingfield Dr , Mexico MO 65265-3786. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Teal Lake Residential, Llc can be contacted via phone (573) 582-7800, or through Schade, Kyle Timothy via phone (573) 471-1113.

Contact Information

Primary practice address
1722 Huntingfield Dr Mexico MO 65265-3786
Phone: (573) 582-7800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schade, Kyle Timothy
Phone: (573) 471-1113

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1568419117
LBN Legal business name Teal Lake Residential, Llc
DBA Doing business as <Unavail>
Authorized official Schade, Kyle Timothy
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Feb 2nd, 2026 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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