| Organization Name: | LIBERTY HEALTHCARE GROUP, LLC |
| NPI Number: | 1891908687 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOE CALCUTT (CFO) |
| Mailing Address: | 316 Nc Highway 801 S Advance |
| State: | NC US |
| Postal Code: | 270067647 |
| Phone Number: | 3369980240 |
| Fax Number: | 3369980243 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 02/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | NC0560 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |