Organization
GATESWAY FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI MYERS (CEO)
(918) 259-3586
Entity
Organization
Contact information
Practice address
1305 E COLLEGE ST, BROKEN ARROW, OK 74012-4204
(918) 258-3900
Mailing address
1217 E COLLEGE ST, BROKEN ARROW, OK 74012-4204
(918) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH7257-7257
OK
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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