Organization
PREFERRED FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONTIEA GOSS (COO)
(417) 869-8911
Entity
Organization
Contact information
Practice address
1212 E STATE ROUTE 72, SUITE 8, ROLLA, MO 65401-3938
(573) 308-3400
Mailing address
1111 S GLENSTONE AVE, SUITE 3-100, SPRINGFIELD, MO 65804-0338
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CC01430115
MO
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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