Organization Name: | GATEWAY COMMUNITY SUPPORT SYSTEMS,LLC |
NPI Number: | 1750681821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | APRIL EXANDRA CAIN (OWNER) |
Mailing Address: | 28 Salliotte Rd Ecorse |
State: | MI US |
Postal Code: | 482291752 |
Phone Number: | 8886102217 |
Fax Number: | 7348181438 |
NPI Enumeration Date: | 10/23/2010 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |