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Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Commons NRC of Halifax County
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
101 CAROLINA AVE, WELDON, NC 27890-1761
(252) 536-4817
(252) 536-5560
Mailing address
2334 S 41ST ST, LIBERTY HEALTHCARE MANAGEMENT, INC, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416501
—
NC
Enumeration date
02/15/2007
Last updated
08/22/2020
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