Organization
GATEWAY CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UCHE EZENEKWE MSN, RN (DIRECTOR OF NURSING)
(708) 418-1388
Entity
Organization
Contact information
Practice address
18436 TORRENCE AVE, LANSING, IL 60438-2831
(708) 418-1388
Mailing address
18436 TORRENCE AVE, LANSING, IL 60438-2831
(708) 418-1388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011419
ILLINOIS DEPARTMENT PUBLIC HEALTH
IL
Enumeration date
12/18/2012
Last updated
12/18/2012
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