Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J. ZIZZAMIA JR. RN (PRESIDENT/EXECUTIVE DIRECTOR)
(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
251E00000X
Home Health Agency
Primary
HC2562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007A
BLUE CROSS BLUE SHIELD
NC
05
—
3407239
—
NC
Enumeration date
05/25/2006
Last updated
07/25/2023
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