# CONWAY GROUP HOME II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063532281
- **Authorized official:** MRS. KATHERINE A CONWAY (OWNER)
- **Authorized official phone:** (573) 688-2886

## Contact information

- **Practice address:** 310 PHILLIPS, LILBOURN, MO 63862
- **Practice address phone:** (573) 688-2886
- **Mailing address:** PO BOX 353, 310 PHILLIPS, LILBOURN, MO 63862
- **Mailing address phone:** (573) 688-2886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 15448196 | MO | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/08/2008