# GATEWAY PERSONAL CARE AGENCY LLC.

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

## Provider details

- **NPI number:** 1891202719
- **Authorized official:** MS. QUERIDA FELDER (CO OWNER)
- **Authorized official phone:** (414) 488-2224

## Contact information

- **Practice address:** 5205 N IRONWOOD RD STE 200, GLENDALE, WI 53217-4907
- **Practice address phone:** (414) 488-2224
- **Practice address fax:** (855) 320-7328
- **Mailing address:** 5205 N IRONWOOD RD STE 200, GLENDALE, WI 53217-4907
- **Mailing address phone:** (414) 488-2224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2017
- **Last updated:** 01/24/2019