Organization
LIBERTY LODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA PATRICK (DIRECTOR)
(713) 397-9098
Entity
Organization
Contact information
Practice address
160 FM 2507, ALICE, TX 78332-7763
(361) 664-7555
Mailing address
PO BOX 3915, ALICE, TX 78333-3915
(361) 664-7555
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
01/24/2023
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