Organization
COMMUNITY COUNSELING
Active
Other names
GATEWOOD PLACE RESIDENTIAL CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA PAULINE WHITE (ADMINISTRATOR)
(405) 528-2445
Entity
Organization
Contact information
Practice address
1700 NW 17TH ST, OKLAHOMA CITY, OK 73106-4212
(405) 528-2445
(405) 528-2436
Mailing address
1700 NW 17TH ST, OKLAHOMA CITY, OK 73106-4212
(405) 528-2445
(405) 528-2436
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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