Organization
DEBORA LIBERTY HEALTHCARE SERVICES LLC
Active
Other names
LIBERTY HEALTH CARE, LIBERTY HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN A. A TINONG MIS (PRESIDENT)
(240) 481-6288
Entity
Organization
Contact information
Practice address
5701 MARTIN LUTHER KING JR HWY # C, CAPITOL HEIGHTS, MD 20743-2156
(240) 481-6288
Mailing address
2712 BLADENSBURG RD NE, WASHINGTON, DC 20018-1425
(240) 481-6288
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
03/05/2024
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