Organization
GATEWAY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE FACTEAU (CREDENTIALING COORDINATOR)
(401) 724-8400
Entity
Organization
Contact information
Practice address
249 ROOSEVELT AVE, UNIT 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Mailing address
249 ROOSEVELT AVE, UNIT 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PENDING
RI
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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