Organization
LINDA ORDWAY
Active
Other names
Lighthouse Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ORDWAY (DIRECTOR)
(573) 256-6155
Entity
Organization
Contact information
Practice address
1250 N DOZIER STATION RD, COLUMBIA, MO 65202-7798
(573) 256-6155
(573) 256-6156
Mailing address
1250 N DOZIER STATION RD, COLUMBIA, MO 65202-7798
(573) 256-6155
(573) 256-6156
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
1849496
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856188800
—
MO
Enumeration date
02/07/2007
Last updated
06/19/2008
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