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Organization
LIBERTY RESIDENTIAL SERVICE, LLC
Active
Organization
LIBERTY RESIDENTIAL SERVICE, LLC
Active
Other names
Liberty Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALAH FATAH (ADMINISTRATOR)
(240) 281-8084
Entity
Organization
Contact information
Practice address
13801 BROWN BRANCH RD, LAUREL, MD 20707-4906
(240) 281-8084
(240) 399-5079
Mailing address
13801 BROWN BRANCH RD, LAUREL, MD 20707-4906
(240) 281-8084
(240) 399-5079
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R4005P
MD
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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