| Liberty Healthcare Services | |
|
700 E Gate Dr Suite 115 Mount Laurel NJ 08054-3803 | |
| (856) 266-9239 | |
| (856) 840-0873 |
| Full Name | Liberty Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 E Gate Dr, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Kevin Robert Zepp (PRESIDENT) |
| Authorized Official Contact | 6095282080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Healthcare Services 700 E Gate Dr Suite 115 Mount Laurel NJ 08054-3803 Ph: (856) 266-9239 | Liberty Healthcare Services 700 E Gate Dr Suite 115 Mount Laurel NJ 08054-3803 Ph: (856) 266-9239 |
| NPI Number | 1093127912 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093127912 | NPI | - | NPPES |
| HP0103704 | Other | NJ | HEALTHCARE SERVICE FIRM LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | HP0103704 (New Jersey) | Primary |
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