Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Mary Gran Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
120 SOUTHWOOD DR, CLINTON, NC 28328-5002
(910) 592-7981
(910) 592-3538
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
NH0089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416093
—
NC
Enumeration date
02/15/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us