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Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Capital Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
3000 HOLSTON LANE, RALEIGH, NC 27610
(919) 231-6045
(919) 231-0943
Mailing address
2334 SOUTH 41ST STREET, LIBERTY HEALTHCARE MANAGEMENT INC, WILMINGTON, NC 28403
(910) 332-1777
(910) 815-3114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3445202
—
NC
05
—
3446204
—
NC
Enumeration date
05/20/2006
Last updated
08/22/2020
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