Organization
GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES
Active
Other names
Gateway Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL Y WOODARD ELDER (PRESIDENT/PASTOR)
(317) 664-1600
Entity
Organization
Contact information
Practice address
546 E 17TH ST, INDIANAPOLIS, IN 46202-1702
(317) 536-1225
Mailing address
PO BOX 44319, INDIANAPOLIS, IN 46244-0319
(317) 536-1225
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
IN
103T00000X
Psychologist
20040411A
IN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
284300000X
Special Hospital
—
IN
343900000X
Non-emergency Medical Transport (VAN)
1638362
IN
347B00000X
Bus
1638362
IN
347C00000X
Private Vehicle
1638362
IN
374U00000X
Home Health Aide
—
IN
Other
Enumeration date
08/28/2007
Last updated
09/06/2007
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