Organization
GORDON OAKS CONVALESCENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY J. MARTIN (SECRETARY)
(251) 666-0250
Entity
Organization
Contact information
Practice address
3151 KNOLLWOOD DR, MOBILE, AL 36693-2753
(251) 661-7608
(251) 665-0134
Mailing address
3151 KNOLLWOOD DR, MOBILE, AL 36693-2753
(251) 661-7608
(251) 665-0134
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
12769
AL
314000000X
Skilled Nursing Facility
12642
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757990S
—
AL
Enumeration date
09/15/2006
Last updated
09/11/2025
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