Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Home Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J.. ZIZZAMIA JR. RN (PRES/EXECUTIVE DIRECTOR)
(910) 815-3122
Entity
Organization
Contact information
Practice address
15235 US HIGHWAY 17 N, HAMPSTEAD, NC 28443-3790
(910) 251-8111
(910) 343-1218
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOS3059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007A
BLUE CROSS BLUE SHIELD
NC
05
—
3411569
—
NC
Enumeration date
11/21/2006
Last updated
12/17/2014
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