Organization
LIBERTY HEALTHCARE GROUP LLC
Active
Other names
Liberty Commons Nursing & Rehabilitation Center of Southport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V CALCUTT (CFO)
(910) 815-3122
Entity
Organization
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461
(910) 457-9581
Mailing address
44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
(910) 642-0224
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
08/11/2022
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