Organization
GATESWAY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDI MYERS (EXECUTIVE DIRECTOR)
(918) 259-1471
Entity
Organization
Contact information
Practice address
3836 S 117TH EAST AVE, TULSA, OK 74146-2935
(918) 259-1471
Mailing address
1217 E COLLEGE ST, BROKEN ARROW, OK 74012-4204
(918) 259-1471
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH7251-7251
OK
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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