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Organization

GENTLE HAVEN HOMES INC

Active
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Organization

GENTLE HAVEN HOMES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATASHA MCCLENDON (EXECUTIVE DIRECTOR)
(256) 750-2888
Entity
Organization

Contact information

Practice address
502 E WASHINGTON ST, PULASKI, TN 38478-3415
(256) 750-2888
Mailing address
502 E WASHINGTON ST, PULASKI, TN 38478-3415
(256) 750-2888
(256) 686-3740

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—

Other

Enumeration date
09/25/2025
Last updated
09/12/2026
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