Organization
GORDAN OAKS AT GREYSTOKE LLC
Active
Other names
Gordon Oaks Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MANAGER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
3151A KNOLLWOOD DR, MOBILE, AL 36693-2745
(251) 661-7608
(251) 602-9146
Mailing address
105 PATROL RD, SUITE D, FORSYTH, GA 31029-1800
(478) 994-3669
(478) 994-3664
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757990S
—
AL
Enumeration date
02/16/2012
Last updated
08/11/2014
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