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
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
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
261QM0850X
Adult Mental Health Clinic/Center
Primary
6300-11443
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266730506
—
MO
Enumeration date
11/30/2011
Last updated
07/29/2022
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