Organization
PREFERRED FAMILY HEALTHCARE
Active
Parent organization
PREFERRED FAMILY HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED FAMILY HEALTHCARE
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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866204407
—
MO
Enumeration date
03/13/2007
Last updated
08/01/2022
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