| NPI | 1104411602 |
|---|---|
| Other Name | LIBERTY |
| Entity Type | Organization |
| Authorized Contact | NANCY HOUSMAN Director Of Billing 614-339-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2022-06-07 |