Organization
GATEWAY RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SHRIVER (CFO)
(320) 231-2738
Entity
Organization
Contact information
Practice address
701 14TH ST S, BENSON, MN 56215-1902
(320) 843-4808
Mailing address
701 14TH ST S, BENSON, MN 56215-1902
(320) 843-4808
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MN
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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