Organization
LIBERTY HEALTHCARE SERVICES OF GOLDEN YEARS NURSING CENTER,LLC
Active
Other names
Golden Years Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CFO)
(910) 815-3122
Entity
Organization
Contact information
Practice address
7348 NORTH WEST STREET, FALCON, NC 28342-0040
(910) 980-1271
(910) 980-1141
Mailing address
2334 SOUTH 41ST STREET, LIBERTY HEALTHCARE MANAGEMENT INC, WILMINGTON, NC 28403
(910) 332-1777
(910) 815-3114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098R
BCBS
NC
05
—
3415367
—
NC
05
—
3416004
—
NC
Enumeration date
05/20/2006
Last updated
05/13/2024
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