Provider Demographics
NPI:1427536531
Name:LIBERTY HOSPICE CARE INC.
Entity Type:Organization
Organization Name:LIBERTY HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EGHAREVBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-682-9299
Mailing Address - Street 1:777 S CENTRAL EXPY
Mailing Address - Street 2:SUITE S-7
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7422
Mailing Address - Country:US
Mailing Address - Phone:214-682-9299
Mailing Address - Fax:214-593-4700
Practice Address - Street 1:777 S CENTRAL EXPY STE 104
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7428
Practice Address - Country:US
Practice Address - Phone:214-682-9299
Practice Address - Fax:241-593-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based