Organization · Type 2 NPI
Goa Operator LLC
Assisted Living Facility · Mobile, AL
NPI number
1639315484
Active
Practice location
3145 Knollwood Dr
Mobile, AL 36693-2762
Fax (251) 602-9160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 5524 (ALF) (AL) |
| Assisted Living Facility | 310400000X | 5526 (SCALF) (AL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1639315484
Goa Operator LLC's National Provider Identifier is 1639315484, issued on Dec 29, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mobile, AL. The record was last updated on Feb 8, 2012.