Organization
LIBERTY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OM NATH KOIRALA (ADMINISTRATOR)
(616) 401-6068
Entity
Organization
Contact information
Practice address
600 SANTANNA DR APT 102, HARRISBURG, PA 17109-4229
(616) 401-6068
Mailing address
600 SANTANNA DR APT 102, HARRISBURG, PA 17109-4229
(616) 401-6068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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