Organization
PREFERRED FAMILY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
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
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
6300-9238
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866205305
—
MO
Enumeration date
01/29/2007
Last updated
08/01/2022
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