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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
2411 W CATALPA ST, SPRINGFIELD, MO 65807-1123
(417) 862-3455
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
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
866205701
MO
Enumeration date
03/15/2007
Last updated
07/29/2022
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