Organization
GATEWAY HEALTHCARE SERVICES LLC
Active
Other names
Gateway Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL OWUSU (ADMINISTRATOR)
(703) 585-0531
Entity
Organization
Contact information
Practice address
3022 JAVIER RD, SUITE # 207, FAIRFAX, VA 22031-4645
(703) 462-8725
(703) 462-8726
Mailing address
3022 JAVIER RD, SUITE # 207, FAIRFAX, VA 22031-4645
(703) 462-8725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171543
VA
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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