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Organization
MARGATE HEALTH AND REHAB CENTER LLC
Active
Organization
MARGATE HEALTH AND REHAB CENTER LLC
Active
Other names
The Margate Health and Rehab Center of Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HARTWELL WALKER JR. (MANAGING MEMBER)
(252) 492-2994
Entity
Organization
Contact information
Practice address
540 WAUGH STREET, JEFFERSON, NC 28640-0130
(336) 246-5581
(336) 246-5997
Mailing address
540 WAUGH STREET, JEFFERSON, NC 28640-0130
(336) 246-5581
(336) 246-5997
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
NULL
314000000X
Skilled Nursing Facility
Primary
NH0459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3435296
MEDICAID
NC
05
—
3436466
—
NC
Enumeration date
09/07/2006
Last updated
04/16/2021
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