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Organization

GATEWAY CARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA DARLINGTON (ADMINISTRATOR)
(732) 542-4700
Entity
Organization

Contact information

Practice address
139 GRANT AVE, EATONTOWN, NJ 07724-1306
(732) 542-4700
(732) 542-4747
Mailing address
139 GRANT AVE, EATONTOWN, NJ 07724-1306
(732) 542-4700
(732) 542-4747

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061305
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009565
EMPIRE PROVIDER NUMBER
NJ
01
3124459
AETNA PROVIDER NUMBER
NJ
05
4489900
NJ
01
A546100
OXFORD PROVIDER NUMBER
NJ
01
IL9946
PHS/HEALTHNET PROVIDER NU
NJ
Enumeration date
09/08/2005
Last updated
09/19/2012
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