Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Home Care II, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JOSEPH ZIZZAMIA JR. RN (PRESIDENT/EXECUTIVE DIRECTOR)
(910) 815-3122
Entity
Organization
Contact information
Practice address
1005 CARTHAGE ST, SANFORD, NC 27330-4114
(919) 774-9522
(919) 774-8560
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007CH
BLUE CROSS BLUE SHIELD
NC
05
—
3427309
—
NC
Enumeration date
05/25/2006
Last updated
03/17/2010
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