# LIBERTY HOME CARE NURSING AGENCY LLC

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

## Provider details

- **NPI number:** 1659172088
- **Authorized official:** PHILIP FORD (OWNER/PRESIDENT)
- **Authorized official phone:** (512) 750-3844

## Contact information

- **Practice address:** 1660 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4877
- **Practice address phone:** (301) 263-6941
- **Practice address fax:** (301) 560-5143
- **Mailing address:** 4500 E WEST HWY STE 150, BETHESDA, MD 20814-3327
- **Mailing address phone:** (512) 750-3844
- **Mailing address fax:** (301) 560-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2025
- **Last updated:** 03/21/2025