Healthcare Provider Details

I. General information

NPI: 1306761580
Provider Name (Legal Business Name): LILIANA LIBERATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 CRAYTON AVE
LIMA OH
45805-3722
US

IV. Provider business mailing address

6147 CRABB RD
LIMA OH
45806-8204
US

V. Phone/Fax

Practice location:
  • Phone: 419-204-9771
  • Fax:
Mailing address:
  • Phone: 567-294-5780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: