# HEART AND SOUL HOME HEALTH PROVIDER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023344751
- **Authorized official:** MRS. ANGELIA G BUTLER (OWNER)
- **Authorized official phone:** (574) 830-5300

## Contact information

- **Practice address:** 22345 GLENFORD DR, GOSHEN, IN 46528-9083
- **Practice address phone:** (574) 830-5300
- **Practice address fax:** (574) 830-5300
- **Mailing address:** 22345 GLENFORD DR, GOSHEN, IN 46528-9083
- **Mailing address phone:** (574) 830-5300
- **Mailing address fax:** (574) 830-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2009
- **Last updated:** 10/31/2009