Organization
GATESWAY FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDI MYERS (EXECUTIVE DIRECTOR)
(918) 259-1471
Entity
Organization
Contact information
Practice address
1217 E COLLEGE ST, BROKEN ARROW, OK 74012-4204
(918) 259-1471
(918) 259-1482
Mailing address
1217 E COLLEGE ST, BROKEN ARROW, OK 74012-4204
(918) 259-1471
(918) 259-1482
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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