Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Home Care VI,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MACDONALD (PRESIDENT)
(910) 815-3122
Entity
Organization
Contact information
Practice address
93 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6351
(252) 308-0700
(252) 537-1872
Mailing address
2334 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3407004
—
NC
Enumeration date
08/11/2005
Last updated
02/10/2023
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