Organization
GOA OPERATOR LLC
Active
Other names
Gordon Oaks Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ANA NEESE (ADMINISTRATOR)
(251) 661-7600
Entity
Organization
Contact information
Practice address
3145 KNOLLWOOD DR, MOBILE, AL 36693-2762
(251) 661-7600
(251) 602-9160
Mailing address
3145 KNOLLWOOD DR, MOBILE, AL 36693-2762
(251) 661-7600
(251) 602-9160
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5524 (ALF)
AL
310400000X
Assisted Living Facility
5526 (SCALF)
AL
Other
Enumeration date
12/29/2008
Last updated
02/08/2012
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