Organization
GATEWAYS TO BETTER LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA KUPPLER (CHIEF OPERATING OFFICER)
(330) 792-2854
Entity
Organization
Contact information
Practice address
3220 S RACCOON RD, APT 12, CANFIELD, OH 44406-9359
(330) 793-5676
(330) 793-5676
Mailing address
6000 MAHONING AVE, SUITE 234, YOUNGSTOWN, OH 44515-2225
(330) 792-2854
(330) 792-3386
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000395
—
OH
01
—
5010351
LICENSE NUMBER
OH
Enumeration date
05/15/2007
Last updated
08/22/2020
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