Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Home Care VII, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BENJAMIN MCNEILL (MANAGER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
212 MAIN STREET, GATESVILLE, NC 27938
(252) 926-3715
(252) 926-3702
Mailing address
2334 SOUTH 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347049
MEDICARE
NC
Enumeration date
07/05/2018
Last updated
07/25/2018
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