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Organization
LIBERTY HEALTHCARE SERVICES, LLC
Active
Organization
LIBERTY HEALTHCARE SERVICES, LLC
Active
Parent organization
LIBERTY HEALTHCARE SERVICE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY HEALTHCARE SERVICE, LLC
Authorized official
VIENGKEO BOUNEMANY (CEO)
(614) 747-3356
Entity
Organization
Contact information
Practice address
123 S BROAD ST STE 305, LANCASTER, OH 43130-4304
(740) 901-3026
(740) 901-3028
Mailing address
123 S BROAD ST STE 305, LANCASTER, OH 43130-4304
(740) 503-5933
(740) 901-3028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1588347
OH
Other
Enumeration date
12/24/2007
Last updated
02/12/2024
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