Gateway Assisted Living, Inc.

NPI 1457594731 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1457594731
Enumeration Date 04/15/2009
Last Updated 04/15/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARK ALAN MARK
Position CHIEF OPERATIONS OFFICER
Phone (541) 744-9817
Fax
Practice Location
620 N CLOVERLEAF LOOP
SPRINGFIELD OR, 97477-1167, US
Phone (541) 744-9817
Fax
Business Location
611 N CLOVERLEAF LOOP
SPRINGFIELD OR, 97477-1188, US
Phone (541) 744-9817
Fax
Toxanomy
Taxonomy Code 320800000X
License State Oregon
License Number 200001
Remove 1457594731 NPI Number
 

According to our database, Gateway Assisted Living, Inc. NPI is 1457594731, taxonomy code is 320800000X and license number is 200001, license state is located at Oregon. Gateway Assisted Living, Inc. physically located at 620 N Cloverleaf Loop, Springfield OR, 97477-1167. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1457594731 NPI number is provided on an as is basis without warranty of any kind. 1457594731 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway Assisted Living, Inc. are for informational purposes only.