# GATEWAY REHABILATION

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

## Provider details

- **NPI number:** 1477953982
- **Authorized official:** LYDIA MOODY (SLP)
- **Authorized official phone:** (828) 734-2648

## Contact information

- **Practice address:** 68 OLD COUNTRY RD, WAYNESVILLE, NC 28786-9500
- **Practice address phone:** (828) 734-2648
- **Mailing address:** 68 OLD COUNTRY RD, WAYNESVILLE, NC 28786-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 09/03/2014