NPI 1639315484

Goa Operator LLC

Organisation Assisted Living Facility Mobile, AL

Practice location

Address: 3145 Knollwood Dr, Mobile, AL 36693-2762
Phone: (251) 661-7600
Fax: (251) 602-9160

Authorised official

Name: Ana Neese
Title: Administrator
Phone: (251) 661-7600

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 5524 (ALF) (AL)

Other Assisted Living Facility providers in Alabama →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 5526 (SCALF) (AL)

Registry record

NPI: 1639315484
Entity type: Organization
NPI issued: 29 Dec 2008
Record last updated: 8 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.