Healthcare Provider Details

I. General information

NPI: 1316441108
Provider Name (Legal Business Name): LIBERTY CAREER SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 JOHN F KENNEDY BLVD STE 310
JERSEY CITY NJ
07306-3817
US

IV. Provider business mailing address

3000 JOHN F KENNEDY BLVD STE 310
JERSEY CITY NJ
07306-3817
US

V. Phone/Fax

Practice location:
  • Phone: 917-745-0949
  • Fax: 201-489-8035
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAJADI PARVIN
Title or Position: CEO
Credential:
Phone: 201-982-3140