Organization
PREFERRED FAMILY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(660) 665-1962
Entity
Organization
Contact information
Practice address
1111 S GLENSTONE AVE, SPRINGFIELD, MO 65804-0338
(417) 869-8911
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CC01430115
MO
Other
Enumeration date
07/16/2015
Last updated
06/10/2022
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