Liberty Corner Enterprises, Inc.

NPI #1063888568 in Canton, North Carolina

Provider Information

NPI Number
1063888568
Entity Type
Organization
Organization Name
Liberty Corner Enterprises, Inc.
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 19, 2015
Last Updated
Aug 19, 2015

Practice Location

Address
30 CHURCH ST
City
Canton
ZIP Code
28716-4432
Phone
(828) 400-9184

Authorized Official

Name
JULIE CROSSON
Title
BOOKKEEPER
Phone
(828) 254-9917

Specialties & Taxonomy Codes

Specialty
Case Management
Day Training, Developmentally Disabled Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Durable Medical Equipment & Medical Supplies
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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