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34D2193719 CLIA NUMBER - LIBERTY COMMONS ASSISTED LIVING OF ONSLOW

Laboratory Demographics

CLIA Number: 34D2193719

Facility Name: LIBERTY COMMONS ASSISTED LIVING OF ONSLOW

Facility Address:
3045 HENDERSON DRIVE EXTENSION
JACKSONVILLE, NC
ZIP 28546
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Facility Phone Number: 910 355-1996

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1912920174

Taxonomy: 311500000X - Alzheimer Center (Dementia Center)
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

CLIA Record

Field Name Field Value
CLIA Number 34D2193719
LAB Type Assisted Living Facility
Facility Name LIBERTY COMMONS ASSISTED LIVING OF ONSLOW
Street 3045 HENDERSON DRIVE EXTENSION
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 355-1996
CertificateType 4
CertificateEffectiveDate 9/24/2022
CertificateExpirationDate 9/23/2024
FacilityType Waiver

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