Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
Liberty County Health Department/Liberty Community Healthcare, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY E KING (OMC MANAGER)
(850) 643-2415
Entity
Organization
Contact information
Practice address
17316 NE SR 65, HOSFORD, FL 32334-9998
(850) 379-8372
(850) 379-8677
Mailing address
17316 NE SR 65, HOSFORD, FL 32334-9710
(850) 379-8372
(850) 379-8677
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027979800
—
FL
Enumeration date
02/27/2012
Last updated
02/27/2012
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