Organization
ARC GATEWAY, INC.
Active
Other names
Arc Gateway Pearl Nelson Child Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN BICKERSTAFF (CHILDREN'S SERVICES DIRECTOR)
(850) 434-7755
Entity
Organization
Contact information
Practice address
916 E FAIRFIELD DR, PENSACOLA, FL 32503-2817
(850) 434-7755
(850) 469-0858
Mailing address
3932 N 10TH AVE, PENSACOLA, FL 32503-2807
(850) 434-7755
(850) 469-0858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811296700
—
FL
05
—
880208400
—
FL
01
—
Y906N
BLUE CROSS BLUE SHEILD
FL
Enumeration date
06/25/2006
Last updated
02/16/2023
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