Organization
LIBERTY HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AAMFOULTH DAVIES (PRESIDENT)
(763) 670-5614
Entity
Organization
Contact information
Practice address
4106 71ST AVE N, BROOKLYN CENTER, MN 55429-1305
(763) 670-5614
(763) 503-4824
Mailing address
4106 71ST AVE N, BROOKLYN CENTER, MN 55429-1305
(763) 670-5614
(763) 503-4824
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
342610
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A642680000
UMPI
MN
Enumeration date
02/09/2009
Last updated
02/09/2009
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