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
1102 ILLINOIS AVE, JOPLIN, MO 64801-5025
(417) 626-0008
Mailing address
1111 S GLENSTONE AVE, SUITE 3-100, SPRINGFIELD, MO 65804-0338
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CC01430115
MO
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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