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Organization
GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES
Active
Organization
GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES
Active
Other names
Gateway Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL Y WOODARD ELDER (PRESIDENT/PASTOR)
(317) 664-1600
Entity
Organization
Contact information
Practice address
546 E 17TH ST, INDIANAPOLIS, IN 46202-1702
(317) 536-1225
Mailing address
PO BOX 44319, INDIANAPOLIS, IN 46244-0319
(317) 536-1225
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
IN
103T00000X
Psychologist
20040411A
IN
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
284300000X
Special Hospital
—
IN
343900000X
Non-emergency Medical Transport (VAN)
1638362
IN
347B00000X
Bus
1638362
IN
347C00000X
Private Vehicle
1638362
IN
374U00000X
Home Health Aide
—
IN
Other
Enumeration date
08/28/2007
Last updated
09/06/2007
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