Organization
LOYD'S LIBERTY HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
400 W OWENS AVE, TULARE, CA 93274-5253
(559) 451-0399
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
120000614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60657H
—
CA
Enumeration date
05/11/2007
Last updated
03/04/2023
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