Organization
LIBERTY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA DEVIVO-CATALANO APRN (OWNER)
(860) 357-4112
Entity
Organization
Contact information
Practice address
18 HART ST, NEW BRITAIN, CT 06052
(860) 357-4112
(860) 357-4253
Mailing address
18 HART ST, NEW BRITAIN, CT 06052
(860) 357-4112
(860) 357-4253
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000570
CT
Other
Enumeration date
02/01/2011
Last updated
07/03/2014
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