Organization
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Active
Other names
Preferred Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LINCOLN (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
301 SOVEREIGN COURT, SUITE 206, BALLWIN, MO 63011-4435
(636) 527-9330
(636) 527-9340
Mailing address
1220 NORTH MAIN STREET, SIKESTON, MO 63801-4827
(573) 481-9625
(573) 481-9639
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
144-3HO
MO
251G00000X
Community Based Hospice Care Agency
146-HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821025826
—
MO
05
—
826224107
—
MO
Enumeration date
06/26/2006
Last updated
01/05/2011
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