| Liberty Care Llc | |
|
8111 N 19th Ave Apt 2038 Phoenix AZ 85021-5168 | |
| (602) 367-7916 | |
| Not Available |
| Full Name | Liberty Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8111 N 19th Ave Apt 2038, Phoenix, Arizona |
| Authorized Official Name and Position | Shareef Daoud (MEMBER/MANAGER) |
| Authorized Official Contact | 6023677916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Care Llc 8111 N 19th Ave Apt 2038 Phoenix AZ 85021-5168 Ph: (602) 367-7916 | Liberty Care Llc 8111 N 19th Ave Apt 2038 Phoenix AZ 85021-5168 Ph: (602) 367-7916 |
| NPI Number | 1003434002 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003434002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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