Provider Demographics
NPI:1508266636
Name:LIBERTY CORPORATION
Entity Type:Organization
Organization Name:LIBERTY CORPORATION
Other - Org Name:ALLBRIGHT NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:OLUFEMMY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-434-0999
Mailing Address - Street 1:515 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-2417
Mailing Address - Country:US
Mailing Address - Phone:401-434-0999
Mailing Address - Fax:401-434-6636
Practice Address - Street 1:515 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-2417
Practice Address - Country:US
Practice Address - Phone:401-434-0999
Practice Address - Fax:401-434-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)