Organization
PHILIP GREG ORDWAY
Active
Other names
WW Country Home ISL
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ORDWAY (DIRECTOR)
(417) 336-8831
Entity
Organization
Contact information
Practice address
105 GALEWOOD DR, BRANSON, MO 65616-7289
(417) 336-8831
Mailing address
106 GALEWOOD DR, BRANSON, MO 65616-7289
(417) 336-8831
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858635006
—
MO
Enumeration date
02/07/2007
Last updated
06/18/2008
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