NPI | 1548770423 |
---|---|
Doing Business As | LIBERTY COMMONS NURSING & REHABILITATION CENTER OF SOUTHPORT, LLC |
Entity Type | Organization |
Authorized Contact | JOSEPH V CALCUTT CFO 910-815-3122 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2017-10-05 |
Last Update Date | 2022-08-11 |