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NPI Code Detail

MEDICARE: LIBERTY HOME HEALTH CARE, INC.

MEDICARE: LIBERTY HOME HEALTH 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
1251E00000XHome Health Agency1010330IL

General Provider Information

NPI Number : 1841277506
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 4411 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2510
Country : US
Telephone Number : 773-777-7570
Fax Number : 773-777-7694
Provider Business Practice Location Address
First Line : 4411 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2510
Country : US
Telephone Number : 773-777-7570
Fax Number : 773-777-7694
Authorized Official
Title or Position : AGENCY ADMINISTRATOR
Name : JENNY SUVADA
Credential :
Telephone Number : 773-777-7570
Provider Enumeration Date : 12/23/2005
Last Update Date : 05/02/2022

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Directions to “LIBERTY HOME HEALTH CARE, INC. ” Practice Location

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