Organization
HEARTLAND HOME CARE LLC
Active
Other names
Heartland Home Health Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
2802 N KICKAPOO AVE, SHAWNEE, OK 74804-1798
(405) 214-6441
(405) 214-6404
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7163
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017180A
—
OK
Enumeration date
07/01/2006
Last updated
07/21/2022
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