# FLORIDA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty County Health Department/Liberty Community Healthcare, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912271701
- **Authorized official:** MRS. KELLY E KING (OMC MANAGER)
- **Authorized official phone:** (850) 643-2415

## Contact information

- **Practice address:** 17316 NE SR 65, HOSFORD, FL 32334-9998
- **Practice address phone:** (850) 379-8372
- **Practice address fax:** (850) 379-8677
- **Mailing address:** 17316 NE SR 65, HOSFORD, FL 32334-9710
- **Mailing address phone:** (850) 379-8372
- **Mailing address fax:** (850) 379-8677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 02/27/2012