# LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland House Rehabilitation and Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811611577
- **Authorized official:** JEFFREY WILSON (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
- **Practice address phone:** (910) 488-2295
- **Practice address fax:** (910) 488-0087
- **Mailing address:** 44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
- **Mailing address phone:** (910) 642-0224
- **Mailing address fax:** (910) 642-8537

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2022
- **Last updated:** 10/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 345353 | MEDICARE OSCAR/CERTIFICATION | NC |