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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3151 KNOLLWOOD DR MOBILE, AL 36693 US
Tel: 251-661-7608 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | AL | 12769 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | AL | 12642 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4757990S | AL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin