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Organization
LIBERTY RESOURCES HEALTH AND WELLNESS, LLC
Active
Organization
LIBERTY RESOURCES HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERMINA MADDOX (EXECUTIVE DIRECTOR)
(215) 634-2000
Entity
Organization
Contact information
Practice address
112 N 8TH ST STE 600, PHILADELPHIA, PA 19107-2422
(215) 634-2000
Mailing address
112 N 8TH ST STE 600, PHILADELPHIA, PA 19107-2422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06670501
PA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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