Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareLIBERTY HEALTHCARE GROUP LLC
Assisted Living Facility
Clinton, North Carolina
Provider NPI: 1720033475
Organization Information:Organization Name: LIBERTY HEALTHCARE GROUP LLC
Practice Location:
120 SOUTHWOOD DRIVE CLINTON, NC 28329 US
Tel: 910-592-7981 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:
120 SOUTHWOOD DRIVE CLINTON, NC 28329 US
Tel: 910-592-7981 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | NH0089 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0089 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3416093 | NC | 05 | |
| 3415218 | NC | 05 | |
| 7803731 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin