Liberty House

NPI #1104643246 in Canton, Ohio

Provider Information

NPI Number: 1104643246
Entity Type: Organization
Organization Name: Liberty House
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Sep 20, 2024
Last Updated: Sep 20, 2024

Practice Location

Address: 1804 5TH ST SE
City: Canton
State: Ohio
ZIP Code: 44707-3008
Phone: (330) 937-2316

Authorized Official

Name: RAMAH R SISTRUNK
Title: OPERATOR
Phone: (330) 937-2316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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