Provider Demographics
NPI:1548851652
Name:LIBERTY HOUSING SERVICES INC.
Entity type:Organization
Organization Name:LIBERTY HOUSING SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELNABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-875-5479
Mailing Address - Street 1:17602 17TH ST # 102-123
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-1961
Mailing Address - Country:US
Mailing Address - Phone:714-463-6572
Mailing Address - Fax:714-591-0933
Practice Address - Street 1:4029 WESTERLY PL STE 101
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2329
Practice Address - Country:US
Practice Address - Phone:714-875-5479
Practice Address - Fax:714-591-0933
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIBERTY HOUSING SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-01
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility