Organization
GATEWAY MEDSPA LLC DBA DANA
Active
Other names
DANA INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOKELA S HUSTON (OWNER)
(229) 854-0146
Entity
Organization
Contact information
Practice address
165 CEDRIC ST, LEESBURG, GA 31763-5027
(229) 405-1900
(229) 304-4486
Mailing address
165 CEDRIC ST, LEESBURG, GA 31763-5027
(229) 405-1900
(229) 304-4486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/25/2020
Last updated
12/14/2022
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