# LIBERTY HEALTHCARE MGT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083120653
- **Authorized official:** DAVID W KLINGERMAN JR. (MANAGING MEMBER)
- **Authorized official phone:** (570) 204-8787

## Contact information

- **Practice address:** 1301 BLOOM RD, DANVILLE, PA 17821-6532
- **Practice address phone:** (570) 284-4343
- **Practice address fax:** (570) 271-3741
- **Mailing address:** 1301 BLOOM RD, DANVILLE, PA 17821-6532
- **Mailing address phone:** (570) 284-4343
- **Mailing address fax:** (570) 271-3741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2017
- **Last updated:** 12/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NONE | NONE | — |