# HEARTFELT HOME AIDE

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

## Provider details

- **NPI number:** 1760192660
- **Authorized official:** SERENITI IRISH (VICE PRESIDENT)
- **Authorized official phone:** (405) 240-8507

## Contact information

- **Practice address:** 3425 WILLOW CREEK DR, MIDWEST CITY, OK 73110-7220
- **Practice address phone:** (405) 512-3330
- **Mailing address:** 3425 WILLOW CREEK DR, MIDWEST CITY, OK 73110-7220
- **Mailing address phone:** (405) 512-3330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/10/2022