Healthcare Provider Details

I. General information

NPI: 1144144783
Provider Name (Legal Business Name): ALPINE HEALTH AND REHABILITATION OF LIBERTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 STEVENS MEMORIAL PL
GOLDSBORO NC
27534-2372
US

IV. Provider business mailing address

PO BOX 11240
GOLDSBORO NC
27532-1240
US

V. Phone/Fax

Practice location:
  • Phone: 919-709-9026
  • Fax:
Mailing address:
  • Phone: 919-709-9026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY NUNN
Title or Position: PRESIDENT
Credential:
Phone: 919-709-9026