Organization
GATEWAY NURSING SERVICES
Active
Other names
Gateway Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JAIYEOLA (CEO)
(443) 743-0761
Entity
Organization
Contact information
Practice address
4106 BROWN BARK CIR, RANDALLSTOWN, MD 21133-2054
(443) 743-0761
Mailing address
4106 BROWN BARK CIR, RANDALLSTOWN, MD 21133-2054
(443) 743-0761
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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