# GATEWAY HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway Healthcare Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215462296
- **Authorized official:** MR. EMMANUEL OWUSU (ADMINISTRATOR)
- **Authorized official phone:** (703) 585-0531

## Contact information

- **Practice address:** 3022 JAVIER RD, SUITE \# 207, FAIRFAX, VA 22031-4645
- **Practice address phone:** (703) 462-8725
- **Practice address fax:** (703) 462-8726
- **Mailing address:** 3022 JAVIER RD, SUITE \# 207, FAIRFAX, VA 22031-4645
- **Mailing address phone:** (703) 462-8725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-171543 | VA | Yes |

## Other

- **Enumeration date:** 04/27/2017
- **Last updated:** 04/27/2017
