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Organization
LIBERTYCARE, INC.
Active
Organization
LIBERTYCARE, INC.
Active
Other names
LibertyCare Home & Community Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOLA B STEPHEN RN (ADMINISTRATOR)
(281) 342-1974
Entity
Organization
Contact information
Practice address
710 S 8TH ST, RICHMOND, TX 77469-3405
(281) 342-1974
(281) 342-9912
Mailing address
710 S 8TH ST, RICHMOND, TX 77469-3405
(281) 342-1974
(281) 342-9912
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003536
STATE OF TEXAS LICENSE
TX
Enumeration date
06/06/2006
Last updated
09/10/2013
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