# LIBERTY HEALTHCARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Home Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518912898
- **Authorized official:** MR. ANTHONY JOSEPH ZIZZAMIA JR. RN (PRESIDENT/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 1120 OCEAN HWY W, SUPPLY, NC 28462-4036
- **Practice address phone:** (910) 754-8133
- **Practice address fax:** (910) 754-2096
- **Mailing address:** 2334 S 41ST ST, WILMINGTON, NC 28403-5502
- **Mailing address phone:** (910) 815-3122
- **Mailing address fax:** (910) 815-3111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC0288 | NC | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 03/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007A | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 3417001 | — | NC |