Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Nursing and Rehab Center of Mecklenburg Co
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CFO)
(910) 332-1793
Entity
Organization
Contact information
Practice address
3700 SHAMROCK DR, CHARLOTTE, NC 28215-3218
(704) 940-8300
(704) 940-8369
Mailing address
2334 S 41ST ST, LIBERTY HEALTHCARE MANAGMENT INC, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3426113
—
NC
Enumeration date
02/15/2007
Last updated
08/22/2020
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