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Organization

LIBERTY HEALTHCARE GROUP, LLC

Active
Other names
Liberty Home Care II, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY J. ZIZZAMIA JR. RN (PRESIDENT/EXECUTIVE DIRECTOR)
(910) 815-3122
Entity
Organization

Contact information

Practice address
401 E 3RD ST, SILER CITY, NC 27344-3233
(910) 815-3122
(910) 815-3111
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOS3149
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007CH
BLUE CROSS BLUE SHIELD
NC
05
3421537
NC
Enumeration date
11/09/2006
Last updated
05/06/2010
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