Liberty Healthcare Group Llc in Wilmington - Assisted Living Facility

Liberty Healthcare Group Llc - NPI 1053454306

Liberty Healthcare Group Llc is a Assisted Living Facility in Wilmington, North Carolina. Liberty Healthcare Group Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Liberty Healthcare Group Llc is 1053454306. The last update date is 2020-08-22.

Liberty Healthcare Group Llc's current location address is 2334 S 41st St, Wilmington, North Carolina. You can contact this provider via phone number 9108153122 and fax number 9106428537. The mailing address for Liberty Healthcare Group Llc is 2334 S 41st St, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Liberty Healthcare Group Llc
Address 2334 S 41st St, Wilmington, North Carolina
Phone Number 9108153122
Fax Number 9106428537
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Calcutt Joe
Telephone Number 9108151793

NPI Number Detail

NPI Number 1053454306
Provider Enumeration Date 2007-02-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2334 S 41st St
City Wilmington
State North Carolina (NC)
Post Code 284035502
Phone Number 9108153122
Fax Number 9106428537

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No NH0089
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7803731 NC --

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FAQs about Liberty Healthcare Group Llc

What is the unique 10-digit identification code assigned to Liberty Healthcare Group Llc by the Centers for Medicare & Medicaid Services?

The Liberty Healthcare Group Llc has been issued the NPI (National Provider Identifier) 1053454306, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Liberty Healthcare Group Llc's facilities are situated?

The facilities of Liberty Healthcare Group Llc are physically located at the following address: 2334 S 41St St, Wilmington, NC, 284035502.

What is Liberty Healthcare Group Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Liberty Healthcare Group Llc's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.

On what date did the Liberty Healthcare Group Llc receive the assignment of its 1053454306 from the Centers for Medicare & Medicaid Services?

The Liberty Healthcare Group Llc was issued its 1053454306 by the Centers for Medicare & Medicaid Services on 2007-02-15.

When was the information pertaining to Liberty Healthcare Group Llc most recently updated or revised?

The details related to Liberty Healthcare Group Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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