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General NPI Number Information
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NPI Number | 1245798305
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Entity Type | Organization
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Legal Business Name | PREFERRED RESIDENTIAL CARE LLC
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 4224 W SAN FRANCISCO AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63115-2917
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Country | US
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Telephone | 314-660-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 4224 W SAN FRANCISCO AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63115-2917
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Country | US
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Telephone | 314-660-2890
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SYLVESTER L WILLIAMS
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Credential | BUSINESSMAN
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Telephone | 314-660-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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