Organization
HEART & SOUL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WAYNE BLAKELY JR. (FINANCIAL OFFICER)
(405) 942-6683
Entity
Organization
Contact information
Practice address
1900 N MACARTHUR BLVD, STE 101, OKLAHOMA CITY, OK 73127
(405) 942-6683
(405) 942-2246
Mailing address
1900 N MACARTHUR BLVD, STE 101, OKLAHOMA CITY, OK 73127
(405) 942-6683
(405) 942-2246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7785
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000377679001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
07/30/2006
Last updated
08/22/2020
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