Organization · Type 2 NPI
Gatesway Foundation Inc
Intellectual Disabilities Intermediate Care Facility · Broken Arrow, OK
NPI number
1265669667
Active
Practice location
1305 E College St
Broken Arrow, OK 74012-4204
Mailing address
1217 E College St
Broken Arrow, OK 74012-4204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | NH7257-7257 (OK) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1265669667
Gatesway Foundation Inc's National Provider Identifier is 1265669667, issued on Jun 12, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 12, 2009.