Provider Demographics
NPI:1194163626
Name:CITY OF MARGATE NW FOCAL POINT SENIOR CENTER
Entity type:Organization
Organization Name:CITY OF MARGATE NW FOCAL POINT SENIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-973-0300
Mailing Address - Street 1:6009 NW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3619
Mailing Address - Country:US
Mailing Address - Phone:954-973-0300
Mailing Address - Fax:954-969-0242
Practice Address - Street 1:6009 NW 10TH ST
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3619
Practice Address - Country:US
Practice Address - Phone:954-973-0300
Practice Address - Fax:954-969-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL687817200Medicaid