Organization
GATE WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EALISE HUNT (ADMINISTRATOR)
19105365749
Entity
Organization
Contact information
Practice address
203 BLAINE ST, PEMBROKE, NC 28372-0033
(191) 053-6574
Mailing address
203 BLAINE ST, PEMBROKE, NC 28372-0033
(191) 053-6574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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