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NPI Code Detail

MEDICARE: LIBERTY HOSPICE CARE INC.

MEDICARE: LIBERTY HOSPICE CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1427536531
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY HOSPICE CARE INC.
Provider Business Mailing Address
First Line : 777 S CENTRAL EXPY
Second Line : SUITE S-7
City : RICHARDSON
State : TX
Zip : 75080-7422
Country : US
Telephone Number : 214-682-9299
Fax Number : 214-593-4700
Provider Business Practice Location Address
First Line : 777 S CENTRAL EXPY STE 104
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-7428
Country : US
Telephone Number : 214-682-9299
Fax Number : 241-593-4700
Authorized Official
Title or Position : PRESIDENT
Name : LILLIAN EGHAREVBA
Credential :
Telephone Number : 214-682-9299
Provider Enumeration Date : 07/31/2018
Last Update Date : 09/21/2020

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Directions to “LIBERTY HOSPICE CARE INC. ” Practice Location

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