# LIBERTY HEALTHCARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Commons Nursing and Rehabilitation Center of Alamance County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326089616
- **Authorized official:** MR. JOE CALCUTT (DIRECTOR OF FINANCE)
- **Authorized official phone:** (910) 332-1793

## Contact information

- **Practice address:** 791 BOONE STATION DR, BURLINGTON, NC 27215-9775
- **Practice address phone:** (336) 586-9850
- **Practice address fax:** (336) 586-9811
- **Mailing address:** 2334 S 41ST ST, LIBERTY HEALTHCARE MANAGEMENT INC, WILMINGTON, NC 28403-5502
- **Mailing address phone:** (910) 332-1777
- **Mailing address fax:** (910) 815-3114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | NH0588 | NC | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | NH0588 | NC | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 02/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0082D | BCBS | NC |
| 05 | — | 3415496 | — | NC |
| 05 | — | 341612U | — | NC |
| 05 | — | 7804967 | — | NC |