Organization
GATEWAY MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DANGAR (OWNER/ ADMINISTRATOR)
(727) 576-6069
Entity
Organization
Contact information
Practice address
8320 14TH WAY N, ST PETERSBURG, FL 33702-2838
(727) 576-6069
(727) 289-7729
Mailing address
8320 14TH WAY N, ST PETERSBURG, FL 33702-2838
(727) 576-6069
(727) 289-7729
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9604
FL
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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