Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Home Care VII, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JOSEPH ZIZZAMIA RN (PRESIDENT)
(910) 332-1941
Entity
Organization
Contact information
Practice address
1719 QUARTER RD, SWANQUARTER, NC 27885-9616
(252) 926-3715
(252) 926-3702
Mailing address
2334 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555555
PENDING MEDICARE NUMBER
—
Enumeration date
10/15/2018
Last updated
10/15/2018
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