Liberty Manor Residency, Inc.
LBN: Liberty Manor Residency, Inc.
Liberty Manor Residency, Inc. is an health care organization with primary practice located at 17632 N 5Th Pl , Phoenix AZ 85022-1809. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Liberty Manor Residency, Inc. can be contacted via phone (602) 441-2563, or through Roxas, Maria via phone (602) 524-8124.
Contact Information
Primary practice address
17632 N 5Th Pl
Phoenix AZ 85022-1809
Phone: (602) 441-2563
Fax: (602) 354-7129
Website:
Authorized official contact:
Name: Roxas, Maria Licensed Practical Nurse (LPN)
Phone: (602) 524-8124
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ALH-4580 | Arizona |
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | ALH-4580 | Arizona |
| Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | ALH-4580 | Arizona |
Profile Details
| NPI number | 1720174303 |
|---|---|
| LBN Legal business name | Liberty Manor Residency, Inc. |
| DBA Doing business as | |
| Authorized official | Roxas, Maria Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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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