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Organization

GATE WAY HEALTH CARE ASSOCIATES

Active
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Organization

GATE WAY HEALTH CARE ASSOCIATES

Active
Parent organization
GATEWAY HEALTH CARE ASS
Organization subpart
Yes

Provider details

NPI number
Legal business name
GATEWAY HEALTH CARE ASS
Authorized official
MS. EALISE HUNT (OWNER)
19108442693
Entity
Organization

Contact information

Practice address
612 E DR MARTIN LUTHER KING JR DR, 612 MARTIN LUTHER KING DRIVE, MAXTON, NC 28364-1800
(910) 844-2693
(910) 844-2694
Mailing address
612 E DR MARTIN LUTHER KING JR DR, MAXTON, NC 28364-1800
(191) 084-4269
(191) 084-4269

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700525
NC
Enumeration date
08/27/2007
Last updated
11/03/2009
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