Organization
HEART AND SOUL HOME HEALTH PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIA G BUTLER (OWNER)
(574) 830-5300
Entity
Organization
Contact information
Practice address
22345 GLENFORD DR, GOSHEN, IN 46528-9083
(574) 830-5300
(574) 830-5300
Mailing address
22345 GLENFORD DR, GOSHEN, IN 46528-9083
(574) 830-5300
(574) 830-5300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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