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Organization
LIBERTY CARE LLC
Active
Organization
LIBERTY CARE LLC
Active
Other names
Liberty Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS OMOWUNMI MARIAM BAYO PROVIDER (OWNER)
(651) 354-9760
Entity
Organization
Contact information
Practice address
10820 DIRECT RIVER DR NW, COON RAPIDS, MN 55433-3923
(651) 354-9760
Mailing address
1480 PARK ST APT 215, WHITE BEAR LAKE, MN 55110-3795
(651) 354-9760
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
07/02/2024
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