Organization
LIBERTY HEALTHCARE SERVISES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUCHARIA IFEOMA DURU (RN/ADMINISTRATOR)
(770) 630-5721
Entity
Organization
Contact information
Practice address
6281 VININGS VINTAGE DR, MABLETON, GA 30126-7202
(770) 630-5721
(770) 485-7340
Mailing address
6281 VININGS VINTAGE DR, MABLETON, GA 30126-7202
(770) 630-5721
(770) 485-7340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033-R-0804
GA
251J00000X
Nursing Care Agency
033-R-0804
GA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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