Organization
PREFERRED FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(660) 665-1962
Entity
Organization
Contact information
Practice address
3105 INDEPENDENCE ST, SUITE B, CAPE GIRARDEAU, MO 63703-5042
(573) 334-4477
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
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CC01430115
MO
Other
Enumeration date
05/11/2015
Last updated
07/29/2022
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