Organization
GATEWAY RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENNETTE FARTHING (OWNER)
(317) 515-8798
Entity
Organization
Contact information
Practice address
9660 COMMERCE DR STE 305, CARMEL, IN 46032-7640
(317) 350-8811
(317) 350-8611
Mailing address
9660 COMMERCE DR STE 305, CARMEL, IN 46032-7640
(317) 350-8811
(317) 350-8611
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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