Organization
LIBERTY CORNER ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETA BYRD (EXECUTIVE DIRECTOR)
(828) 254-9917
Entity
Organization
Contact information
Practice address
119 TUNNEL RD STE 120, ASHEVILLE, NC 28805-1869
(828) 254-9917
(828) 251-5373
Mailing address
119 TUNNEL RD STE 120, ASHEVILLE, NC 28805-1869
(828) 254-9917
(828) 251-5373
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL011005
NC
251C00000X
Developmentally Disabled Services Day Training Agency
MHL011005
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL011005
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL011005
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL011005
NC
332B00000X
Durable Medical Equipment & Medical Supplies
MHL011005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408614
—
NC
05
—
5950430
—
NC
05
—
7804737
—
NC
05
—
8301154
—
NC
Enumeration date
01/30/2007
Last updated
02/01/2021
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