Liberty Enterprises Inc.

NPI #1902923394 in Marion, Illinois

Provider Information

NPI Number: 1902923394
Entity Type: Organization
Organization Name: Liberty Enterprises Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Mar 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1304 W MACK AVE
City: Marion
State: Illinois
ZIP Code: 62959-4510
Phone: (618) 997-9336

Authorized Official

Name: MR. STEPHEN R. BROWN
Title: ADMINISTRATOR
Phone: (618) 997-9336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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