Provider Demographics
NPI:1629204946
Name:LIBERTY HEALTH CARE & ASSOCIATES
Entity Type:Organization
Organization Name:LIBERTY HEALTH CARE & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LEMUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:III
Authorized Official - Credentials:PSYD
Authorized Official - Phone:216-397-7302
Mailing Address - Street 1:1111 HEREFORD RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3639
Mailing Address - Country:US
Mailing Address - Phone:216-397-7302
Mailing Address - Fax:
Practice Address - Street 1:1111 HEREFORD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3639
Practice Address - Country:US
Practice Address - Phone:216-397-7302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care