Organization
GATEWAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN EVANS (ADMINISTRATOR)
(559) 299-2591
Entity
Organization
Contact information
Practice address
111 BARSTOW AVE, CLOVIS, CA 93612-2225
(559) 554-2047
Mailing address
111 BARSTOW AVE, CLOVIS, CA 93612-2225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
07/27/2021
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