Organization
GENTLE HAVEN HOMES
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
04/30/2026
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