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34D1090886 CLIA NUMBER - LIBERTY HOME CARE VII, LLC DBA LIBERTY HOME CARE AND HOSPICE

Laboratory Demographics

CLIA Number: 34D1090886

Facility Name: LIBERTY HOME CARE VII, LLC DBA LIBERTY HOME CARE AND HOSPICE

Facility Address:
1689 QUARTER ROAD
SWANQUARTER, NC
ZIP 27885
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Facility Phone Number: 252 926-3175

Facility Type: Other - HOME CARE AND HOSPICE

Certificate Type: Waiver
NPI Number: 1326041468

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 34D1090886
LAB Type Other - HOME CARE AND HOSPICE
Facility Name LIBERTY HOME CARE VII, LLC DBA LIBERTY HOME CARE AND HOSPICE
Street 1689 QUARTER ROAD
City SWANQUARTER
State NC
ZIP 27885
Phone 252 926-3175
CertificateType 4
CertificateEffectiveDate 10/21/2022
CertificateExpirationDate 10/20/2024
FacilityType Waiver

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