Organization
LIBERTY VILLAGE SENIOR COMMUNITIES INC
Active
Other names
Liberty Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J MICHAEL HAEMMERLE (PRESIDENT)
(614) 799-4447
Entity
Organization
Contact information
Practice address
1839 WESTERN AVE, CHILLICOTHE, OH 45601
(740) 773-4630
(740) 773-4648
Mailing address
5920 VENTURE DRIVE, DUBLIN, OH 43017
(614) 798-5110
(614) 798-5125
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2020 RCF
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020 RCF
RCF LICENSE
OH
05
—
385459727
—
OH
Enumeration date
08/13/2014
Last updated
06/07/2023
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