Organization Name: | PREFERRED FAMILY HEALTHCARE, INC. |
NPI Number: | 1093010639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE GARZANELLI (CONTROLLER) |
Mailing Address: | 1570 S Main St Saint Charles |
State: | MO US |
Postal Code: | 633034149 |
Phone Number: | 6367572200 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2011 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1290-7765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |