Organization
GATEWAY HEALTHCARE, INC
Active
Other names
DEVELOPMENT DISABILITIES
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY GROVER (MANAGER OF RECEIVABLES)
(401) 724-8400
Entity
Organization
Contact information
Practice address
249 ROOSEVELT AVE, SUITE 249, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 722-5039
Mailing address
249 ROOSEVELT AVE, SUITE 249, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 722-5039
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
RI633
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH78991
—
RI
Enumeration date
07/12/2011
Last updated
07/12/2011
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