Gateway Park Holdings LLC
NPI #1295587988 in Poway, California
Provider Information
- NPI Number
- 1295587988
- Entity Type
- Organization
- Organization Name
- Gateway Park Holdings LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 4, 2024
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 12750 GATEWAY PARK RD
- City
- Poway
- State
- California
- ZIP Code
- 92064-2050
- Phone
- (858) 451-9933
Authorized Official
- Name
- DEEPAK ISRANI
- Title
- GENERAL MANAGER
- Phone
- (619) 296-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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