| Organization Name: | LIBERTY HEALTHCARE GROUP LLC |
| NPI Number: | 1104995745 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY J. ZIZZAMIA (PRESIDENT/EXECUTIVE DIRECTOR) |
| Mailing Address: | 1700 Country Club Rd Jacksonville |
| State: | NC US |
| Postal Code: | 285466004 |
| Phone Number: | 9103464800 |
| Fax Number: | 9103465870 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOS2005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |