NPI | 1912997685 |
---|---|
Doing Business As | LIBERTY COMMUNITY LIVING CENTER |
Entity Type | Organization |
Authorized Contact | DOUGLAS M. WRIGHT Managing Member 662-680-3148 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 930) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2008-01-28 |