Liberty House
Assisted Living Facility, Assisted Living, Mental Illness in Canton, OH. Organization (NPI-2).
NPI number1104643246
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1104643246
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty House
- Organization subpart
- No
- Enumeration date
- Sep 20, 2024
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | Yes |
Practice location
1804 5th St SeCanton, OH 44707-3008
Phone 330-937-2316
Mailing address
1387 Garman RdAkron, OH 44313-6454
Phone 330-937-2316
Authorized official
Ramah R Sistrunk
Operator
3309372316
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