| NPI | 1639315484 |
|---|---|
| Doing Business As | GORDON OAKS ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ANA NEESE Administrator 251-661-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AL 5524 (ALF)) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AL 5526 (SCALF)) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2012-02-08 |