Provider Demographics
NPI:1821454851
Name:HEART AND HOME FOR CHILDREN, INC
Entity Type:Organization
Organization Name:HEART AND HOME FOR CHILDREN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:MORELOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:417-880-6914
Mailing Address - Street 1:310 N MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706-1661
Mailing Address - Country:US
Mailing Address - Phone:417-880-6914
Mailing Address - Fax:
Practice Address - Street 1:310 N MARSHALL ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-1661
Practice Address - Country:US
Practice Address - Phone:417-880-6914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children