Caregivers Of Liberty I

NPI 1073641247 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1073641247
Enumeration Date 03/01/2007
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KANDICE LACKEY KANDICE
Position OWNER
Phone (336) 622-0088
Fax
Practice Location
121 EAST RALEIGH AVE
LIBERTY NC, 27298-3005, US
Phone (336) 622-0088
Fax
Business Location
121 EAST RALEIGH AVE
LIBERTY NC, 27298-3005, US
Phone (336) 622-0088
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number FCL-076-028
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According to our database, Caregivers Of Liberty I NPI is 1073641247, taxonomy code is 311ZA0620X and license number is FCL-076-028, license state is located at North Carolina. Caregivers Of Liberty I physically located at 121 East Raleigh Ave, Liberty NC, 27298-3005. NPI Number 1033115704 has the healthcare provider type.

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1073641247 NPI number is provided on an as is basis without warranty of any kind. 1073641247 is maintained by the National Plan & Provider Enumeration System. The contents of Caregivers Of Liberty I are for informational purposes only.