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GORDON OAKS CONVALESCENT CENTER, INC.

Alzheimer Center

Mobile, Alabama

Provider NPI: 1275639429

Organization Information:
Organization Name:  GORDON OAKS CONVALESCENT CENTER, INC.


Practice Location:
3151 KNOLLWOOD DR  MOBILE, AL 36693 US
Tel: 251-661-7608  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
AL12769
X314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
AL12642

Other Provider Identifiers:

IssuerNumberStateType
4757990SAL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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