Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Parent organization
LIBERTY HEALTHCARE GROUP, LLC
Other names
Southport Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Authorized official
JOE V CALCUTT (CFO)
(910) 815-3122
Entity
Organization
Contact information
Practice address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-3800
(910) 454-4628
Mailing address
44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
(910) 642-0224
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
09/29/2016
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