# LINDA ORDWAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093855314
- **Authorized official:** GREG ORDWAY (DIRECTOR)
- **Authorized official phone:** (573) 256-6155

## Contact information

- **Practice address:** 1250 N DOZIER STATION RD, COLUMBIA, MO 65202-7798
- **Practice address phone:** (573) 256-6155
- **Practice address fax:** (573) 256-6156
- **Mailing address:** 1250 N DOZIER STATION RD, COLUMBIA, MO 65202-7798
- **Mailing address phone:** (573) 256-6155
- **Mailing address fax:** (573) 256-6156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 1849496 | MO | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 06/19/2008