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
1101 JAMISON ST, KIRKSVILLE, MO 63501-3943
(660) 665-1962
(660) 627-0642
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
6300-9238
MO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
6300-9238
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866205206
—
MO
Enumeration date
02/20/2007
Last updated
08/01/2022
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