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General NPI Number Information
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NPI Number | 1386966422
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Entity Type | Organization
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Legal Business Name | PREFERRED FAMILY HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 5850 US HIGHWAY 431 STE 11
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City | ALBERTVILLE
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State | AL
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Zip | 35950-2049
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Country | US
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Telephone | 256-878-1053
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Fax | 256-878-9969
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Provider Business Mailing Address
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Address Line | PO BOX 516
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City | ALBERTVILLE
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State | AL
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Zip | 35950-0008
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Country | US
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Telephone | 256-878-1053
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Fax | 256-878-9969
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Authorized Official
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Title or Position | OWNER
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Name | SHONNIE L HUBBARD
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Credential |
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Telephone | 256-878-1053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 1-059298
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License Number State | AL
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