NPI 1154324101

Gateway Healthcare, INC

Organisation Case Management Agency Pawtucket, RI

Practice location

Address: 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134
Phone: (401) 724-8400
Fax: (401) 365-1100

Authorised official

Name: Joyce Facteau
Title: Credentialing Coordinator
Phone: (401) 724-8400

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence PENDING (RI)

Other Case Management providers in Rhode Island →

Registry record

NPI: 1154324101
Entity type: Organization
NPI issued: 23 May 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.