Organization · Type 2 NPI
Gatesway Foundation Inc
Intellectual Disabilities Intermediate Care Facility · Broken Arrow, OK
NPI number
1457501892
Active
Practice location
1313 E. College
Broken Arrow, OK 74012
Fax (918) 286-7506
Mailing address
1217 E College St
Broken Arrow, OK 74012-4204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | NH7258-7258 (OK) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1457501892
Gatesway Foundation Inc's National Provider Identifier is 1457501892, issued on Sep 23, 2008. 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 Sep 23, 2008.