LIBERTY HEALTHCARE GROUP LLC
Alzheimer Center
Benson, North Carolina
Provider NPI: 1669425401
Organization Information:Organization Name: LIBERTY HEALTHCARE GROUP LLC
Practice Location:
2315 HWY 242 NORTH BENSON, NC 27504 US
Tel: 919-207-1717 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:
2315 HWY 242 NORTH BENSON, NC 27504 US
Tel: 919-207-1717 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0606 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 009CU | NC | 01 |
341613Y | NC | 05 | |
3415519 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin