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Contact Information

GORDON OAKS CONVALESCENT CENTER, INC.
3151 KNOLLWOOD DR
MOBILE, AL36693-2753
 Phone: 251-661-7608
 Fax: 251-665-0134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for GORDON OAKS CONVALESCENT CENTER, INC.

NPI Number 1275639429
LBN Legal business name GORDON OAKS CONVALESCENT CENTER, INC.
Authorized official TERRY MARTIN - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
AL License # 12642
AL License # 12769
AL Medicaid 4757990S
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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