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LIBERTY HEALTHCARE GROUP LLC

Alzheimer Center

Whiteville, North Carolina

Provider NPI: 1538113014

Organization Information:
Organization Name:  LIBERTY HEALTHCARE GROUP LLC


Practice Location:
1402 PINCKNEY STREET  WHITEVILLE, NC 28472 US
Tel: 910-642-4245  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
N335E00000XSuppliers
Prosthetic/Orthotic Supplier
NCNH0283
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
NCNH0283

Other Provider Identifiers:

IssuerNumberStateType
3415207NC05
3416217NC05
BCBS00951NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS NC - Page 1



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