Organization
GATEWAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE HINTZKE (OWNER)
(414) 587-6998
Entity
Organization
Contact information
Practice address
458 RUGGLES ST, FOND DU LAC, WI 54935-3931
(414) 587-6998
Mailing address
1649 S 28TH ST, MILWAUKEE, WI 53215-1936
(414) 587-6998
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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