Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Cross Creek Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
1719 QUARTER ROAD, SWAN QUARTER, NC 27885
(252) 926-2143
(252) 926-2414
Mailing address
2334 SOUTH 41ST STREET, LIBERTY HEALTHCARE MANAGEMENT INC, WILMINGTON, NC 28403
(910) 332-1777
(910) 815-3114
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
NH0515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435407
—
NC
05
—
343600E
—
NC
Enumeration date
05/20/2006
Last updated
01/06/2020
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