Provider Demographics
NPI:1013395110
Name:TOULIE'S HEART, INC
Entity Type:Organization
Organization Name:TOULIE'S HEART, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-299-7786
Mailing Address - Street 1:3398 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-3338
Mailing Address - Country:US
Mailing Address - Phone:305-299-7786
Mailing Address - Fax:
Practice Address - Street 1:3398 NW 50TH STREET
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142
Practice Address - Country:US
Practice Address - Phone:305-299-7786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management