34D0856170 CLIA NUMBER - LIBERTY HOME CARE, LLC - ELIZABETHTOWN

Laboratory Demographics

CLIA Number: 34D0856170

Facility Name: LIBERTY HOME CARE, LLC - ELIZABETHTOWN

Facility Address:
118 WEST BROAD STREET
ELIZABETHTOWN, NC
ZIP 28337
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Facility Phone Number: 910 862-8538

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1801974555

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	34D0856170
LAB Type	Home Health Agency
Facility Name	LIBERTY HOME CARE, LLC - ELIZABETHTOWN
Street	118 WEST BROAD STREET
City	ELIZABETHTOWN
State	NC
ZIP	28337
Phone	910 862-8538
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024