GATEWAY HEALTHCARE, INC
Intermediate Care Facility, Mental Illness
Pawt, Rhode Island
Provider NPI: 1568499887
Organization Information:Organization Name: GATEWAY HEALTHCARE, INC
Practice Location:
249 ROOSEVELT AVE STE 205 PAWT, RI 02860 US
Tel: 401-724-8400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
249 ROOSEVELT AVE STE 205 PAWT, RI 02860 US
Tel: 401-724-8400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | RI | RN34654 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MG27111 | RI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin