Provider Demographics
NPI:1407542681
Name:THE HEART OF THE FAMILY AGENCY LLC
Entity Type:Organization
Organization Name:THE HEART OF THE FAMILY AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:419-244-5348
Mailing Address - Street 1:PO BOX 1310
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43552-1310
Mailing Address - Country:US
Mailing Address - Phone:419-244-5348
Mailing Address - Fax:888-228-7479
Practice Address - Street 1:890 W BANCROFT ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4657
Practice Address - Country:US
Practice Address - Phone:419-244-5348
Practice Address - Fax:888-228-7479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management