Preferred Family Healthcare, INC.
Clinic/Center, Rehabilitation, Substance Use Disorder in Kirksville, MO. Organization (NPI-2).
NPI number1013063486
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1013063486
- Entity type
- Organization (NPI-2)
- Legal business name
- Preferred Family Healthcare, INC.
- Organization subpart
- No
- Enumeration date
- Jan 26, 2007
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 6300-9238 | MO | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | 6300-9238 | MO |
Practice location
900 E Laharpe StKirksville, MO 63501-4520
Phone 660-665-1962 · Fax 660-665-3989
Mailing address
1601 Old South River RdSaint Charles, MO 63303-4120
Authorized official
Mark Conover
Chief Revenue Officer
5736031460
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