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
7 WESTOWNE ST STE 403, LIBERTY, MO 64068-1166
(816) 407-1754
(816) 407-1739
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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
6300-9238
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866205602
—
MO
Enumeration date
02/20/2007
Last updated
07/29/2022
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