Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J ZIZZAMIA JR. (MANAGER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
3200 SPRING FOREST RD STE 201, RALEIGH, NC 27616-2812
(919) 850-4303
(919) 850-4304
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOS3058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007A
BLUE CROSS BLUE SHIELD
NC
05
—
3411569
—
NC
Enumeration date
10/31/2006
Last updated
04/20/2009
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