Organization
GENTLE HAVEN LLC
Active
Parent organization
GENTLE HAVEN LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTLE HAVEN LLC
Authorized official
JARED OMBOI (ADMINISTRATOR)
(612) 913-9934
Entity
Organization
Contact information
Practice address
15768 CARDINAL CIR, ROSEMOUNT, MN 55068-6613
(612) 913-9934
Mailing address
15768 CARDINAL CIR, ROSEMOUNT, MN 55068-6613
(612) 913-9934
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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