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Organization

LIBERTY OAKS ALF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY ROSS ROSS (ADMINISTRATOR/OWNER)
(850) 643-5155
Entity
Organization

Contact information

Practice address
12167 NW FREEMAN RD, BRISTOL, FL 32321-3019
(850) 643-5155
(850) 643-3721
Mailing address
12167 NW FREEMAN RD, BRISTOL, FL 32321-3019
(850) 643-5155
(850) 643-3721

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130566700
FL
Enumeration date
04/28/2026
Last updated
04/28/2026
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