LIBERTY HEALTHCARE GROUP LLC
Assisted Living Facility
Windsor, North Carolina
Provider NPI: 1881648350
Organization Information:Organization Name: LIBERTY HEALTHCARE GROUP LLC
Practice Location:
1403 CONNER AVENUE WINDSOR, NC 27983 US
Tel: 252-794-4441 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:
1403 CONNER AVENUE WINDSOR, NC 27983 US
Tel: 252-794-4441 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0522 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
343601A | NC | 05 | |
7804564 | NC | 05 | |
3435404 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin