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Organization

GATEWAY CARE CENTER, LLC

Active
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Organization

GATEWAY CARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA DARLINGTON (ADMINISTRATOR)
(732) 542-4700
Entity
Organization

Contact information

Practice address
139 GRANT AVE, EATONTOWN, NJ 07724-1306
(732) 542-4700
(732) 542-4747
Mailing address
139 GRANT AVE, EATONTOWN, NJ 07724-1306
(732) 542-4700
(732) 542-4747

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061305
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009565
EMPIRE PROVIDER NUMBER
NJ
01
—
3124459
AETNA PROVIDER NUMBER
NJ
05
—
4489900
—
NJ
01
—
A546100
OXFORD PROVIDER NUMBER
NJ
01
—
IL9946
PHS/HEALTHNET PROVIDER NU
NJ
Enumeration date
09/08/2005
Last updated
09/19/2012
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