# GORDON OAKS CONVALESCENT CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275639429
- **Authorized official:** MR. TERRY J. MARTIN (SECRETARY)
- **Authorized official phone:** (251) 666-0250

## Contact information

- **Practice address:** 3151 KNOLLWOOD DR, MOBILE, AL 36693-2753
- **Practice address phone:** (251) 661-7608
- **Practice address fax:** (251) 665-0134
- **Mailing address:** 3151 KNOLLWOOD DR, MOBILE, AL 36693-2753
- **Mailing address phone:** (251) 661-7608
- **Mailing address fax:** (251) 665-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 12769 | AL | Yes |
| 314000000X | Skilled Nursing Facility | 12642 | AL | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 09/11/2025