Organization
PREFERRED FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(573) 603-1460
Entity
Organization
Contact information
Practice address
2626 W COLLEGE RD, SPRINGFIELD, MO 65802-4637
(417) 869-8086
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CC01430115
MO
Other
Enumeration date
05/14/2015
Last updated
07/29/2022
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