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Organization
GENTLE CARE RESIDENTIAL, LLC
Active
Organization
GENTLE CARE RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSEHAYE TESHOME (CEO)
(615) 559-2220
Entity
Organization
Contact information
Practice address
2201 MURFREESBORO PIKE STE D202, NASHVILLE, TN 37217-3556
(615) 559-2220
Mailing address
3041 BARNES BEND DR, ANTIOCH, TN 37013-4475
(615) 559-2220
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021383
DIDDS
TN
Enumeration date
06/07/2022
Last updated
06/07/2022
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