Individual
MARK BORDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MARGATE HEALTH AND REHAB 540 WAUGH ST, JEFFERSON, NC 28640-9034
(336) 246-5581
Mailing address
91 CISCO RD, ASHEVILLE, NC 28805-1335
(828) 230-9864
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2195
NC
Other
Enumeration date
02/08/2013
Last updated
03/30/2020
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