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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