Organization
PREFERRED FAMILY HEALTHCARE, INC
Active
Parent organization
PREFERRED FAMILY HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED FAMILY HEALTHCARE, INC.
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(573) 603-1460
Entity
Organization
Contact information
Practice address
8333 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(816) 474-7677
(816) 474-7671
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
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
6300-9238
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866204902
—
MO
Enumeration date
02/20/2007
Last updated
07/29/2022
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