Healthcare Provider Details

I. General information

NPI: 1154352524
Provider Name (Legal Business Name): GULF HEALTH HOSPITALS DBA OAKWOOD CENTER FOR LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 MEDICAL CENTER DR
BAY MINETTE AL
36507-4163
US

IV. Provider business mailing address

PO BOX 1409
BAY MINETTE AL
36507-1409
US

V. Phone/Fax

Practice location:
  • Phone: 251-580-1717
  • Fax: 251-937-1657
Mailing address:
  • Phone: 251-580-1717
  • Fax: 251-937-1657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. JOHN EADS
Title or Position: CEO
Credential:
Phone: 251-580-1717