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General NPI Number Information
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NPI Number | 1225965809
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Entity Type | Organization
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Legal Business Name | GENTLE HAVEN HOME CARE, LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1208 CALOOSA RIDGE AVE
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City | BABSON PARK
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State | FL
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Zip | 33827-9725
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Country | US
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Telephone | 863-241-4378
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Fax | 863-241-4378
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Provider Business Mailing Address
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Address Line | PO BOX 94
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City | LAKE WALES
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State | FL
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Zip | 33859-0094
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Country | US
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Telephone | 863-241-4378
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Fax | 863-241-4378
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Authorized Official
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Title or Position | CEO / MANAGER
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Name | MRS. LOTTIE HAMILTON
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Credential |
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Telephone | 863-241-4378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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