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Liberty Enterprises Inc.
Intellectual Disabilities Intermediate Care Facility in Marion, Illinois
NPI 1902923394

Liberty Enterprises Inc. is a Intellectual Disabilities Intermediate Care Facility based in Marion, IL. Liberty Enterprises Inc. practices in Marion, IL. The NPI Number for Liberty Enterprises Inc. is 1902923394 and holds a License No. 0037085 (Illinois).

The current practice location address for Liberty Enterprises Inc. is 1304 W Mack Ave, Marion, IL and can be reached out via phone at 618-997-9336.

Location: 1304 W Mack Ave, Marion, IL, 62959-4510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902923394
Provider Name
Liberty Enterprises Inc.
Credential
Provider Entity Type
Organization
Address
1304 W Mack Ave, Marion, IL, 62959-4510
Phone Number
618-997-9336
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1304 W Mack Ave
City
Marion
State
Illinois
Zip
62959-4510
Phone Number
618-997-9336
Fax Number
person
Provider Business Mailing Address Details
Address
1304 W Mack Ave
City
Marion
State
Illinois
Zip
62959-4510
Phone Number
618-997-9336
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0037085 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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