Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Commons NRC of Halifax County
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CFO)
(910) 815-3122
Entity
Organization
Contact information
Practice address
101 CAROLINE AVE, WELDON, NC 27890-1761
(252) 536-4817
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NH0469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801656
—
NC
Enumeration date
02/15/2007
Last updated
09/11/2019
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