Organization
GENTLE HAVEN
Active
Organization subpart
No
Provider details
NPI number
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
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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