Organization
LIBERTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCCOLLUM JR. (OWNER)
(951) 280-3001
Entity
Organization
Contact information
Practice address
6245 MULAN ST, CORONA, CA 92880-0793
(951) 280-3001
(951) 280-3002
Mailing address
3045 S ARCHIBALD AVE STE H, SUITE 299, ONTARIO, CA 91761-9001
(951) 280-3001
(951) 280-3002
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201016110114
CA
Other
Enumeration date
01/22/2011
Last updated
01/22/2011
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