Organization
LIBERTY HEALTHCARE GROUP, LLC
Active
Other names
Liberty Homecare and Hospice, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J. ZIZZAMIA JR. (MANAGER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
1307 E PINE LOG RD, SUITE B, AIKEN, SC 29803-9695
(803) 643-0001
(803) 649-0490
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221827
—
SC
01
—
570371732001
BLUE CROSS
SC
01
—
C683
ACM
SC
Enumeration date
04/06/2006
Last updated
11/01/2011
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