Mary Gran Nursing Center
LBN: Liberty Healthcare Group Llc
Mary Gran Nursing Center is an health care organization with primary practice located at 120 Southwood Drive , Clinton NC 28329. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Liberty Healthcare Group Llc can be contacted via phone (910) 592-7981, or through Calcutt, Joe via phone (910) 332-1793.
Contact Information
Primary practice address
120 Southwood Drive
Clinton NC 28329
Phone: (910) 592-7981
Fax: (910) 592-3538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | NH0089 | North Carolina |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH0089 | North Carolina |
Profile Details
| NPI number | 1720033475 |
|---|---|
| LBN Legal business name | Liberty Healthcare Group Llc |
| DBA Doing business as | Mary Gran Nursing Center |
| Authorized official | Calcutt, Joe |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Aug 10th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720033475 | NPPES |
| North Carolina | MEDICAID | 3416093 | |
| North Carolina | MEDICAID | 3415218 | |
| North Carolina | MEDICAID | 7803731 |
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