Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Capital Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
3000 HOLSTON LANE, RALEIGH, NC 27610
(919) 231-6045
(919) 231-0943
Mailing address
2334 SOUTH 41ST STREET, LIBERTY HEALTHCARE MANAGEMENT INC, WILMINGTON, NC 28403
(910) 332-1777
(910) 815-3114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3445202
—
NC
05
—
3446204
—
NC
Enumeration date
05/20/2006
Last updated
08/22/2020
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