Organization Name: | LIBERTY HEALTH SERVICES, INC. |
NPI Number: | 1023179876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LENA BEKER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 5675 Ralston St Suite 'c' Ventura |
State: | CA US |
Postal Code: | 930036005 |
Phone Number: | 8056540191 |
Fax Number: | 8056540103 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 550000185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |