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Contact Information

LIBERTY COMMUNITY CONNECTIONS, INC
112 N 8TH ST STE 602
PHILADELPHIA, PA19107
 Phone: 267-765-1515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LIBERTY COMMUNITY CONNECTIONS, INC

NPI # 1407365257
LBN Legal business name LIBERTY COMMUNITY CONNECTIONS, INC
Authorized official ELIZABETH THUL - (CO-EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
PA License # 102749306
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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