NPI 1063532281
Conway Group Home II
Practice location
- Address
- 310 Phillips, Lilbourn, MO 63862
- Phone
- (573) 688-2886
- Mailing address
- PO Box 353 310 Phillips, Lilbourn, MO 63862
Authorised official
- Name
- Katherine a Conway
- Title
- Owner
- Phone
- (573) 688-2886
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1063532281
- Entity type
- Organization
- NPI issued
- 30 Mar 2007
- Record last updated
- 8 Aug 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.