NPI 1497133243

Preferred Family Healthcare

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Rolla, MO

Practice location

Address: 1212 E State Route 72 Suite 8, Rolla, MO 65401-3938
Phone: (573) 308-3400
Mailing address: 1111 S Glenstone Ave Suite 3-100, Springfield, MO 65804-0338

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence CC01430115 (MO)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1497133243
Entity type: Organization
NPI issued: 13 May 2015
Record last updated: 13 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.