Organization
LIBERTY LIVING, INC
Active
Other names
Liberty Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE DIANE RASH LPN (EXECUTIVE DIRECTOR)
(704) 922-9130
Entity
Organization
Contact information
Practice address
142 DOWNEY LAKE RD, DALLAS, NC 28034-9395
(704) 922-9130
(704) 922-7337
Mailing address
142 DOWNEY LAKE RD, DALLAS, NC 28034-9395
(704) 922-9130
(704) 922-7337
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
03/21/2012
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