Healthcare Provider Details

I. General information

NPI: 1609002005
Provider Name (Legal Business Name): PREFERRED FAMILY HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 07/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MATHIAS DR
SPRINGDALE AR
72762-0741
US

IV. Provider business mailing address

602 N WALTON BLVD
BENTONVILLE AR
72712-4576
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-1272
  • Fax: 479-750-1261
Mailing address:
  • Phone: 479-464-1060
  • Fax: 479-271-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateAR

VIII. Authorized Official

Name: HELEN BALDING
Title or Position: CORP INSURANCE DIR
Credential:
Phone: 479-271-6107