| Organization Name: | LIBERTY HEALTHCARE GROUP, LLC |
| NPI Number: | 1003879636 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY J. ZIZZAMIA (PRESIDENT/EXECUTIVE DIRECTOR) |
| Mailing Address: | 1307 Pine Log Road Suite B Aiken |
| State: | SC US |
| Postal Code: | 298039695 |
| Phone Number: | 8036430001 |
| Fax Number: | 8036490490 |
| NPI Enumeration Date: | 04/06/2006 |
| NPI Last Update Date: | 11/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HPC-0112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |