Organization
OPERATION LIBERATE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE NASHELLE TOLBERT (OWNER)
(910) 249-3554
Entity
Organization
Contact information
Practice address
2504 RAEFORD RD STE 208210, FAYETTEVILLE, NC 28305-5294
(910) 223-2751
(910) 223-2759
Mailing address
2504 RAEFORD RD STE 208/210, FAYETTEVILLE, NC 28305-5135
(910) 223-2751
(910) 223-2759
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4154
NC
Other
Enumeration date
03/06/2013
Last updated
04/05/2013
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