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Organization
LIBERTY HEALTHCARE PRO
Active
Organization
LIBERTY HEALTHCARE PRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD AWANSI (CEO)
(908) 590-1253
Entity
Organization
Contact information
Practice address
1204 LIBERTY AVE, HILLSIDE, NJ 07205-2023
(908) 590-1253
Mailing address
1204 LIBERTY AVE, HILLSIDE, NJ 07205-2023
(908) 590-1253
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/09/2026
Last updated
10/09/2026
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