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Organization
HAVEN HOME MEDICAL GROUP PLLC
Active
Organization
HAVEN HOME MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GLEN BLASCHKE II (MANAGER)
(615) 979-9453
Entity
Organization
Contact information
Practice address
118 W WALNUT ST, SMITHVILLE, TN 37166-1326
(615) 979-9453
Mailing address
118 W WALNUT ST, SMITHVILLE, TN 37166-1326
(615) 979-9453
(615) 576-1214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
05/28/2026
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