# LIBERTY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1245650399
- **Authorized official:** MARK CAPUTO (MANAGER)
- **Authorized official phone:** (206) 236-5001

## Contact information

- **Practice address:** 2021 FABEN DR, MERCER ISLAND, WA 98040-2001
- **Practice address phone:** (206) 816-6507
- **Mailing address:** 2021 FABEN DR, MERCER ISLAND, WA 98040-2001

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014