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Organization

LIBERTY CARE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALFRED K BOBIE-FRIMPONG (DIRECTOR)
(513) 497-9137
Entity
Organization

Contact information

Practice address
5210 ASTER PARK DR APT 1712, HAMILTON, OH 45011-6300
(513) 497-9137
Mailing address
5210 ASTER PARK DR APT 1712, HAMILTON, OH 45011-6300
(513) 497-9137

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
0902527
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3053243
OH
Enumeration date
08/17/2011
Last updated
08/17/2011
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