Organization
LIBERTY HEALTH SUPPLIES, LLC
Active
Other names
Liberty Rehab & Patient Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FLETCHER (PRESIDENT)
(203) 377-1144
Entity
Organization
Contact information
Practice address
1151 STRATFORD AVE, STRATFORD, CT 06615-6312
(203) 377-1144
(866) 381-6072
Mailing address
1151 STRATFORD AVE, STRATFORD, CT 06615-6312
(203) 377-1144
(866) 381-6072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0285908-000
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235728
—
CT
01
—
12DME0968CT01
ANTHEM BLUE CROSS & BLUE SHIELD
CT
01
—
171441
WELLCARE OF CONN.
CT
01
—
2V6016
HEALTHNET
CT
01
—
82-02085
EVERCARE
CT
01
—
A881654
OXFORD HEALTH
CT
Enumeration date
07/04/2006
Last updated
07/14/2016
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