Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Commons Nursing & Rehabilitation Center of Springwood, LLC, Summerstone Health and Rehabilitation Center, Liberty Commons of Kernersville, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CALCUTT (CEO)
(910) 815-3122
Entity
Organization
Contact information
Practice address
485 VETERANS WAY, KERNERSVILLE, NC 27284-9903
(336) 767-2750
(336) 767-3862
Mailing address
44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
(910) 642-0224
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NC
335E00000X
Prosthetic/Orthotic Supplier
NH0439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405039
—
NC
Enumeration date
04/13/2012
Last updated
11/20/2020
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