# LIBERTY RESIDENTIAL CARE LLC

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

## Provider details

- **NPI number:** 1457033359
- **Authorized official:** MS. CYNTHIA BOWDEN (OWNER/PRESIDENT)
- **Authorized official phone:** (248) 979-1990

## Contact information

- **Practice address:** 19401 YONKA ST, DETROIT, MI 48234-1827
- **Practice address phone:** (248) 979-1990
- **Mailing address:** 28475 GREENFIELD RD, SOUTHFIELD, MI 48076-3034
- **Mailing address phone:** (248) 979-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2023
- **Last updated:** 08/01/2023
