Provider Demographics
NPI:1093150146
Name:MARGATE MANOR, INC
Entity Type:Organization
Organization Name:MARGATE MANOR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARRINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-566-8353
Mailing Address - Street 1:1189 W RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3578
Mailing Address - Country:US
Mailing Address - Phone:954-972-0200
Mailing Address - Fax:954-563-3939
Practice Address - Street 1:1189 W RIVER DR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3578
Practice Address - Country:US
Practice Address - Phone:954-972-0200
Practice Address - Fax:954-563-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6649310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility