# GATEWAY ANGEL'S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174951230
- **Authorized official:** MARIE M LOUIS CNA (OWNER)
- **Authorized official phone:** (561) 420-4967

## Contact information

- **Practice address:** 307 NE 24TH AVE, BOYNTON BEACH, FL 33435-2134
- **Practice address phone:** (561) 420-4967
- **Mailing address:** 307 NE 24 AVE, BOYNTON BEACH, FL 33435
- **Mailing address phone:** (561) 420-4967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2013
- **Last updated:** 10/28/2013