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Organization
GATEWAY HEALTHCARE, INC
Active
Organization
GATEWAY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE FACTEAU (CREDENTIALING COORDIANTOR)
(401) 724-8400
Entity
Organization
Contact information
Practice address
160 BEECHWOOD AVE, PAWTUCKET, RI 02860-5402
(401) 722-5573
(401) 726-5571
Mailing address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01235
RI
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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