Organization
GOS OPERATOR LLC
Active
Other names
Gordon Oaks Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD B. MCAULIFFE (ADMINISTRATOR)
(251) 661-7608
Entity
Organization
Contact information
Practice address
3151A KNOLLWOOD DR, MOBILE, AL 36693-2745
(251) 661-7608
(251) 602-9146
Mailing address
3151A KNOLLWOOD DR, MOBILE, AL 36693-2745
(251) 661-7608
(251) 602-9146
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5525 (NH)
AL
314000000X
Skilled Nursing Facility
5527 (SCALF)
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-579905
—
AL
Enumeration date
12/23/2008
Last updated
01/15/2012
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