# ERAJ HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Home Care, Liberty Home Care V, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124252184
- **Authorized official:** RONALD BENJAMIN MCNEILL (MANAGER)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 797 WOODLAND DR STE 103, STUART, VA 24171-5132
- **Practice address phone:** (276) 755-4766
- **Practice address fax:** (276) 755-4225
- **Mailing address:** 2334 S 41ST ST, WILMINGTON, NC 28403-5502
- **Mailing address phone:** (910) 815-3122
- **Mailing address fax:** (991) 081-5311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007CH | BLUE CROSS BLUE SHIELD | VA |
| 05 | — | 4907475 | — | VA |
| 01 | — | 497475 | MEDICARE | VA |