Organization
GATEWAY REHABILATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA MOODY (SLP)
(828) 734-2648
Entity
Organization
Contact information
Practice address
68 OLD COUNTRY RD, WAYNESVILLE, NC 28786-9500
(828) 734-2648
Mailing address
68 OLD COUNTRY RD, WAYNESVILLE, NC 28786-9500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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