Organization
LIBERTY HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE CHUKWUDI EJERE SR. (DIRECTOR)
(919) 601-7672
Entity
Organization
Contact information
Practice address
5300 ATLANTIC AVE STE 106G, RALEIGH, NC 27609-1123
(919) 601-7672
Mailing address
5300 ATLANTIC AVE STE 106G5300, RALEIGH, NC 27609-1122
(919) 601-7672
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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