Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Commons NRC of Wake County
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
3000 HOLSTON LN, RALEIGH, NC 27610-2002
(919) 231-6045
(919) 231-0943
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3446204
—
NC
Enumeration date
02/15/2007
Last updated
08/22/2020
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