GATEWAY RESIDENTIAL SUPPORTS NPI 1740783679

NPI Information

GATEWAY RESIDENTIAL SUPPORTS is a community based residential treatment facility, intellectual and/or developmental disabilities in Louisville, KY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GATEWAY RESIDENTIAL SUPPORTS NPI is 1740783679. The provider is registered as an organization entity type.

The provider's business location address is:

4321 SOUTHERN PKWY
LOUISVILLE, KY
ZIP 40214-583
Phone: (502) 395-1672

The provider's authorized official is Stacey Milligan .
The authorized official title is Executive Director and has the following contact phone number (502) 223-2488.

The enumeration date for this NPI number is 3/16/2018 and was last updated on 3/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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