Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareCAREGIVERS OF LIBERTY I
Adult Care Home
Liberty, North Carolina
Provider NPI: 1073641247
Organization Information:Organization Name: CAREGIVERS OF LIBERTY I
Practice Location:
121 EAST RALEIGH AVE LIBERTY, NC 27298 US
Tel: 336-622-0088 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
121 EAST RALEIGH AVE LIBERTY, NC 27298 US
Tel: 336-622-0088 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | FCL-076-028 |
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | FCL076028 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PROVIDER NUMBER | 7804675 | NC | 01 |
| 7804675 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin