LIBERTY HOME LLC NPI 1558832683

NPI Information

LIBERTY HOME LLC is a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LIBERTY HOME LLC NPI is 1558832683. The provider is registered as an organization entity type.

The provider's business location address is:

9649 N 36TH AVE
PHOENIX, AZ
ZIP 85051
Phone: (602) 423-6758

The provider's authorized official is Mohamed Sesay .
The authorized official title is Program Director and has the following contact phone number (602) 423-6758.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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