LIBERTY PROVIDER LLC

TOLEDO, OH
NPI1508338708
Entity TypeOrganization
Authorized ContactWILLIAM TIMOTHY BRUCK
Owner
734-344-7331
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2018-12-28
Last Update Date2018-12-28
Business Address
LIBERTY PROVIDER LLC
7110 W CENTRAL AVE STE A
TOLEDO, OH 43617-3118
Phone number: 419-517-7000
Mailing Address
LIBERTY PROVIDER LLC
7110 W CENTRAL AVE STE A
TOLEDO, OH 43617-3118
Phone number: 419-517-7000
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