NPI 1154941128
Gentle Haven
Practice location
- Address
- 8045 159th St W, Apple Valley, MN 55124-7054
- Phone
- (612) 913-9934
Authorised official
- Name
- Jared Omboi
- Title
- Administrator
- Phone
- (612) 913-9934
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1154941128
- Entity type
- Organization
- NPI issued
- 20 Apr 2020
- Record last updated
- 8 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.