| Organization Name: | HOSPITAL AUTHORITY OF LIBERTY COUNTY |
| NPI Number: | 1023443801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HUGH SCOTT KROELL (CEO) |
| Mailing Address: | 128 Coastal Manor Dr Se Ludowici |
| State: | GA US |
| Postal Code: | 313162951 |
| Phone Number: | 9125453392 |
| Fax Number: | 9125453397 |
| NPI Enumeration Date: | 09/11/2013 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |