Organization
GATEWAY PERSONAL CARE AGENCY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUERIDA FELDER (CO OWNER)
(414) 488-2224
Entity
Organization
Contact information
Practice address
5205 N IRONWOOD RD STE 200, GLENDALE, WI 53217-4907
(414) 488-2224
(855) 320-7328
Mailing address
5205 N IRONWOOD RD STE 200, GLENDALE, WI 53217-4907
(414) 488-2224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/30/2017
Last updated
01/24/2019
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