Organization Name: | LIBERTY ASSEM DBAHEAVENLY HELPERS |
NPI Number: | 1285855916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCILLE JONES (DIRECTOR) |
Mailing Address: | 6779 Belmont Ave Girard |
State: | OH US |
Postal Code: | 444201307 |
Phone Number: | 3305398722 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |