| Liberty Medical Care Services Llc | |
|
1859 Springfield Ave # 61 Maplewood NJ 07040-2904 | |
| (973) 761-8900 | |
| (973) 761-4780 |
| Full Name | Liberty Medical Care Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1859 Springfield Ave # 61, Maplewood, New Jersey |
| Authorized Official Name and Position | Constance Oguguo (OWNER) |
| Authorized Official Contact | 9737618900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Care Services Llc 1453 Springfield Ave # 61 Maplewood NJ 07040-2403 Ph: (973) 761-8900 | Liberty Medical Care Services Llc 1859 Springfield Ave # 61 Maplewood NJ 07040-2904 Ph: (973) 761-8900 |
| NPI Number | 1558578369 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/07/2024 |
| Certification Date | 09/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558578369 | NPI | - | NPPES |
| 0104442 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251E00000X | Home Health | HP 0265700 (New Jersey) | Secondary |
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