Organization
GATEWAY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B AUSTIN LNHA (PRESIDENT)
(440) 466-3942
Entity
Organization
Contact information
Practice address
20 FAIRVIEW RD, GENEVA, OH 44041-7118
(440) 466-3942
(440) 466-0485
Mailing address
20 FAIRVIEW RD, P.O. BOX 207, GENEVA, OH 44041-7118
(440) 466-3942
(440) 466-0485
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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