# LIBERTY HOME CARE NURSING AGENCY LLC

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

## Provider details

- **NPI number:** 1235974288
- **Authorized official:** PHILIP ANTHONY FORD (OWNER)
- **Authorized official phone:** (512) 750-3844

## Contact information

- **Practice address:** 1101 CONNECTICUT AVE NW STE 450, WASHINGTON, DC 20036-4359
- **Practice address phone:** (202) 883-6495
- **Mailing address:** 10510 GROVE RIDGE PL, NORTH BETHESDA, MD 20852-4656
- **Mailing address phone:** (512) 750-3844

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024