Organization
LIBERTY HEALTH SUPPLIES, LLC
Active
Other names
Liberty Rehab & Patient Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FLETCHER (PRESIDENT)
(203) 445-9343
Entity
Organization
Contact information
Practice address
650 MAIN ST # 8, MONROE, CT 06468-2829
(203) 445-9343
(203) 445-9312
Mailing address
650 MAIN ST # 8, MONROE, CT 06468-2829
(203) 445-9343
(203) 445-9312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0285908000
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235728
—
CT
Enumeration date
03/25/2008
Last updated
03/26/2009
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