| NPI | 1033215215 |
|---|---|
| Former Legal Business Name | GORDON OAKS |
| Entity Type | Organization |
| Authorized Contact | TERRY J. MARTIN Controller 251-666-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AL 11527) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: AL 12770) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |