Organization
LIBERTY INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILHELMINA FRIERSON (OWNER)
(704) 904-4894
Entity
Organization
Contact information
Practice address
9131 EVENTINE CT, CHARLOTTE, NC 28214-9323
(704) 904-4894
Mailing address
9131 EVENTINE CT, CHARLOTTE, NC 28214-9323
(704) 904-4894
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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