Gordon Oaks Healthcare Center

LBN: Knollwood Healthcare Llc
Gordon Oaks Healthcare Center is an health care organization with primary practice located at 3151 Knollwood Dr # A , Mobile AL 36693-2753. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Knollwood Healthcare Llc can be contacted via phone (251) 661-7608, or through Brogdon, Tygh via phone (770) 650-8773.

Contact Information

Primary practice address
3151 Knollwood Dr # A Mobile AL 36693-2753
Phone: (251) 661-7608
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brogdon, Tygh
Phone: (770) 650-8773

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N4926 Alabama

Profile Details

NPI number 1770769119
LBN Legal business name Knollwood Healthcare Llc
DBA Doing business as Gordon Oaks Healthcare Center
Authorized official Brogdon, Tygh
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2008
Last updated Feb 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770769119 NPPES
Alabama MEDICAID 47579902

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