Provider Demographics
NPI:1205434032
Name:PREFERRED HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:PREFERRED HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-358-8187
Mailing Address - Street 1:254 W WELLSPRING WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3147
Mailing Address - Country:US
Mailing Address - Phone:314-358-8187
Mailing Address - Fax:
Practice Address - Street 1:5500 SAMPSON ST APT 5207
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7884
Practice Address - Country:US
Practice Address - Phone:314-358-8187
Practice Address - Fax:314-254-7119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health