Organization · NPI-2

Liberty Commons Nursing Center INC

Skilled Nursing Facility · Wilmington, NC

NPI number1447394408
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1447394408
Entity type
Organization (NPI-2)
Legal business name
Liberty Commons Nursing Center INC
Organization subpart
No
Enumeration date
Feb 16, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityNH0569NCYes

Practice location

121 Racine Dr
Wilmington, NC 28403-8705

Phone 910-452-4070 · Fax 910-452-1864

Mailing address

2334 S 41st St
Wilmington, NC 28403-5502

Phone 910-332-8155 · Fax 910-642-8537

Authorized official

Joe Calcutt
Cfo
9103321793

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