NPI 1194868679

Liberty Healthcare Group LLC

Organisation Skilled Nursing Facility Raleigh, NC

Practice location

Address: 3000 Holston Ln, Raleigh, NC 27610-2002
Phone: (919) 231-6045
Fax: (919) 231-0943
Mailing address: 2334 S 41st St, Wilmington, NC 28403-5502

Authorised official

Name: Joe Calcutt
Title: Cfo
Phone: (910) 332-1793

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH0268 (NC)

Other Skilled Nursing Facility providers in North Carolina →

Registry record

NPI: 1194868679
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.