Healthcare Provider Details

I. General information

NPI: 1649249384
Provider Name (Legal Business Name): ARC GATEWAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3932 N. 1OTH AVENUE
PENSACOLA FL
32503
US

IV. Provider business mailing address

3932 N. 1OTH AVENUE
PENSACOLA FL
32503
US

V. Phone/Fax

Practice location:
  • Phone: 850-434-2638
  • Fax: 850-438-2180
Mailing address:
  • Phone: 850-434-2638
  • Fax: 850-438-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. DONNA FASSETT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 850-434-2638