| NPI | 1952948341 |
|---|---|
| Doing Business As | LIBERTY |
| Entity Type | Organization |
| Authorized Contact | BRANDON MOORE-HARGROVE Managing Member 813-313-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 314000000X Skilled Nursing Facility | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2020-02-17 |