Organization
MARGATE HEALTH AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EVERETT SHARPE (REGIONAL DIRECTOR)
(252) 432-2303
Entity
Organization
Contact information
Practice address
540 WAUGH STREET, OPTIONAL, JEFFERSON, NC 28640-2864
(336) 246-5581
Mailing address
PO BOX 909, JEFFERSON, NC 28640-0909
(336) 246-5581
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435296
—
NC
Enumeration date
06/25/2021
Last updated
06/25/2021
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