MEDICARE: PREFERRED FAMILY HEALTH CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1013468925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED FAMILY HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	9219 SIBLEY HALL ROAD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-0000
Country	:	US
Telephone Number	:	870-793-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	9219 SIBLEY HALL ROAD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-0000
Country	:	US
Telephone Number	:	870-793-8900
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	JEANNE BROSIUS
Credential	:
Telephone Number	:	870-793-8900

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	10/17/2016

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