Organization
GATEWAY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J JOHNSON (CFO)
(815) 875-4548
Entity
Organization
Contact information
Practice address
406 S GOSSE BLVD, PRINCETON, IL 61356-1916
(815) 875-4548
(815) 875-8602
Mailing address
PO BOX 535, PRINCETON, IL 61356-0535
(815) 875-4548
(815) 875-8602
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
199100050C
IL
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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