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Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
LibertyHome Care VII, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BENJAMIN MCNEILL (MANAGER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
216 CHURCH ST E, AHOSKIE, NC 27910-3518
(252) 926-3715
(252) 926-3702
Mailing address
2334 SOUTH 41ST. STREET, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICARE
347049
NC
Enumeration date
07/02/2018
Last updated
03/12/2024
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