Organization
LIBERTY SQUARE CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ZIMBELMAN (PRESIDENT)
(816) 232-9573
Entity
Organization
Contact information
Practice address
111 SOUTH BOULDER, NORA SPRINGS, IA 50458
(641) 792-5680
(641) 792-2630
Mailing address
111 SOUTH BOULDER, NORA SPRINGS, IA 50458
(641) 792-5680
(641) 792-2630
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
340777
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232447
—
IA
05
—
0448449
—
IA
05
—
0894063
—
IA
Enumeration date
04/12/2006
Last updated
08/22/2020
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