Whalio Doctors

NPI 1063532281

Conway Group Home II

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Lilbourn, MO

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
Residential Treatment Facilities Taxonomy 320600000X Licence 15448196 (MO)

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.