| Organization Name: | PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC |
| NPI Number: | 1821025826 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES C LINCOLN (MEMBER) |
| Mailing Address: | 301 Sovereign Court Suite 206 Ballwin |
| State: | MO US |
| Postal Code: | 630114435 |
| Phone Number: | 6365279330 |
| Fax Number: | 6365279340 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 01/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 146-HO |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |