Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Home Care VII, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JOSEPH ZIZZAMIA JR. RN (PRESIDENT)
(910) 332-1941
Entity
Organization
Contact information
Practice address
1719 QUARTER RD, SWANQUARTER, NC 27885-9616
(252) 926-3715
(252) 926-3702
Mailing address
1719 QUARTER RD, SWANQUARTER, NC 27885-9616
(252) 926-3715
(252) 926-3702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078G
BCBS
NC
05
—
3407096
—
NC
01
—
HC0379
AGENCY LICENSE
NC
Enumeration date
05/23/2005
Last updated
03/17/2018
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