Mary Gran Nursing Center

LBN: Liberty Healthcare Group Llc
Mary Gran Nursing Center is an health care organization with primary practice located at 120 Southwood Dr , Clinton NC 28328-5002. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Liberty Healthcare Group Llc can be contacted via phone (910) 592-7981, or through Calcutt, Joe via phone (910) 332-1793.

Contact Information

Primary practice address
120 Southwood Dr Clinton NC 28328-5002
Phone: (910) 592-7981
Fax: (910) 592-3538
Website:
Map and Directions
Authorized official contact:
Name: Calcutt, Joe
Phone: (910) 332-1793

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0089 North Carolina

Profile Details

NPI number 1265575641
LBN Legal business name Liberty Healthcare Group Llc
DBA Doing business as Mary Gran Nursing Center
Authorized official Calcutt, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265575641 NPPES
North Carolina MEDICAID 3416093

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