Organization
LIBERTY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE DIANE RASH LPN (EXECUTIVE DIRECTOR)
(704) 622-3795
Entity
Organization
Contact information
Practice address
70 WOODFIN PL, STE 307, ASHEVILLE, NC 28801-2466
(704) 922-9130
(704) 922-7337
Mailing address
142 DOWNEY LAKE RD, DALLAS, NC 28034-9395
(704) 622-3795
(704) 922-7337
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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