Organization
HEARTLAND HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB TYRONE CANTRELL (CEO)
(405) 989-6237
Entity
Organization
Contact information
Practice address
10805 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73162-6901
(405) 989-6237
Mailing address
15208 BEDFORD RD, EDMOND, OK 73013-6084
(405) 989-6237
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/29/2025
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