# LIBERTY HEALTHCARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Commons Nursing & Rehabilitation Center of Southport, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548770423
- **Authorized official:** MR. JOSEPH V CALCUTT (CFO)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 630 N FODALE AVE, SOUTHPORT, NC 28461
- **Practice address phone:** (910) 457-9581
- **Mailing address:** 44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
- **Mailing address phone:** (910) 642-0224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 08/11/2022