Organization
LIBERTY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROBERT ZEPP (PRESIDENT)
(609) 528-2080
Entity
Organization
Contact information
Practice address
700 E GATE DR, SUITE 115, MOUNT LAUREL, NJ 08054-3803
(856) 266-9239
(856) 840-0873
Mailing address
700 E GATE DR, SUITE 115, MOUNT LAUREL, NJ 08054-3803
(856) 266-9239
(856) 840-0873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
HP0103704
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0103704
HEALTHCARE SERVICE FIRM LICENSE
NJ
Enumeration date
05/27/2014
Last updated
05/27/2014
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