Organization
CHAMBERSBURG HEALTH CARE LLC
Active
Other names
Liberty Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HACKEROTT (PRESIDENT)
(816) 736-8800
Entity
Organization
Contact information
Practice address
2201 GLENN HENDREN DR, LIBERTY, MO 64068-3375
(816) 736-8800
Mailing address
2201 GLENN HENDREN DR, LIBERTY, MO 64068-3375
(816) 736-8800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477917896
—
MO
Enumeration date
04/12/2016
Last updated
09/14/2016
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