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Preferred Family Healthcare

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rolla, MO

NPI 1497133243 · NPPES record last updated May 13, 2015

Key facts

NPI
1497133243
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
CC01430115 (MO)
Legal business name
PREFERRED FAMILY HEALTHCARE
Practice address
1212 E State Route 72
Suite 8
Rolla, MO 65401-3938
Phone
(573) 308-3400
NPI assigned
May 13, 2015
Organization subpart
No

Authorized official

Name
Bontiea Goss
Title
Coo
Phone
(417) 869-8911

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Preferred Family Health Care Inc (149 organizations share this tax ID)

Locations

1111 S Glenstone Ave
Ste 3-100
Springfield, MO 65804

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X CC01430115 MO Yes

Addresses

Primary practice location

1212 E State Route 72
Suite 8
Rolla, MO 65401-3938

Mailing address

1111 S Glenstone Ave
Suite 3-100
Springfield, MO 65804-0338

Other providers in Rolla, MO

All providers in Rolla, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.