# LIBERTY OAKS \#2

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

## Provider details

- **NPI number:** 1720108996
- **Authorized official:** MS. JANET PALMER (ADMINISTRATOR)
- **Authorized official phone:** (828) 281-2875

## Contact information

- **Practice address:** 123 FLORIDA AVE, ASHEVILLE, NC 28806-3528
- **Practice address phone:** (828) 281-2875
- **Practice address fax:** (828) 281-2876
- **Mailing address:** PO BOX 16792, ASHEVILLE, NC 28816-0792
- **Mailing address phone:** (828) 281-2875
- **Mailing address fax:** (828) 281-2876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL011095 | NC | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7803584 | — | NC |