Organization
HAVEN HOME MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BLASCHKKE MD (MANAGER)
(615) 979-9453
Entity
Organization
Contact information
Practice address
118 W WALNUT ST, SMITHVILLE, TN 37166-1326
(615) 979-9453
Mailing address
4632 SPARTA HWY, SMITHVILLE, TN 37166-5158
(615) 979-9453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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