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Organization

GATEWAY COMMUNITY SERVICE BOARD

Active
Other names
GATEWAY COMMUNITY SERVICE BOARD, 51st Street Group Home
Organization subpart
No

Provider details

NPI number
Authorized official
MIRANDA HORNE (REVENUE CYCLE MANAGER)
(912) 280-7023
Entity
Organization

Contact information

Practice address
1915 EAST 51ST STREET, SAVANNAH, GA 31404
(912) 353-3089
(912) 351-6490
Mailing address
121 BURGESS RD STE 2, BRUNSWICK, GA 31523-9311
(912) 280-7023
(912) 289-0909

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
025011408
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000622553M
GA
Enumeration date
03/13/2007
Last updated
03/31/2026
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