Gateway Community Service Board in Brunswick - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Gateway Community Service Board - NPI 1073646097
Gateway Community Service Board is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Brunswick, Georgia. Gateway Community Service Board practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Gateway Community Service Board is 1073646097. The last update date is 2008-03-06.
Gateway Community Service Board's current location address is 107 Leeswood Cir, Brunswick, Georgia. You can contact this provider via phone number 9124377300. The mailing address for Gateway Community Service Board is 107 Leeswood Cir, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gateway Community Service Board |
|---|---|
| Address | 107 Leeswood Cir, Brunswick, Georgia |
| Phone Number | 9124377300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bonati Frank |
| Credentials | M.D. |
| Telephone Number | 9124377300 |
NPI Number Detail
| NPI Number | 1073646097 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 107 Leeswood Cir |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315252493 |
| Phone Number | 9124377300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
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Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique identifier code issued to Gateway Community Service Board by the Centers for Medicare & Medicaid Services (CMS)?
The Gateway Community Service Board has been assigned the NPI (National Provider Identifier) 1073646097. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gateway Community Service Board located?
The Gateway Community Service Board is located at 107 Leeswood Cir, Brunswick, GA 315252493.
What is Gateway Community Service Board's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gateway Community Service Board is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Gateway Community Service Board receive the assignment of its 1073646097 from the Centers for Medicare & Medicaid Services?
The Gateway Community Service Board was issued its 1073646097 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the Gateway Community Service Board's information last updated?
The Gateway Community Service Board's information was last updated on 2008-03-06.