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Organization
LIBERTY COMMONS OF FLORENCE, LLC
Active
Organization
LIBERTY COMMONS OF FLORENCE, LLC
Active
Other names
Heritage Home of Florence
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WILSON (CHIEF OPERATING OFFICER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
515 WARLEY ST, FLORENCE, SC 29501-5132
(843) 662-4573
Mailing address
44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
(910) 642-0224
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425154
MEDICARE OSCAR / CERTIFICATION
SC
Enumeration date
02/16/2023
Last updated
02/16/2023
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