Organization
PREFERRED HEALTH AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE ANDREW BROOKS II (OWNER)
(913) 284-6442
Entity
Organization
Contact information
Practice address
1734 E 63RD ST, STE. 506, KANSAS CITY, MO 64110-3543
(816) 361-2700
(816) 361-2703
Mailing address
1734 E 63RD ST, SUITE 506, KANSAS CITY, MO 64110-3543
(816) 361-2700
(816) 361-2703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39445019
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/12/2006
Last updated
04/20/2008
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