| Organization Name: | LIBERTY HOME CARE, LLC |
| NPI Number: | 1053497966 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY J. ZIZZAMIA (PRESIDENT/EXECUTIVE) |
| Mailing Address: | 115 E Main St Ste 105 Wallace |
| State: | NC US |
| Postal Code: | 284662746 |
| Phone Number: | 9102854954 |
| Fax Number: | 9102858603 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOS3303 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |