Liberty of Oklahoma Corporation

NPI #1104389006 in Tulsa, Oklahoma

Provider Information

NPI Number
1104389006
Entity Type
Organization
Organization Name
Liberty of Oklahoma Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
LIBERTY OF OKLAHOMA CORPORATION
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 9, 2019
Last Updated
Apr 9, 2019

Practice Location

Address
7318 E PINE ST
City
Tulsa
ZIP Code
74115-5743
Phone
(539) 292-4607

Authorized Official

Name
HUGH M. SAGE, PHD
Title
CHIEF EXECUTIVE OFFICER
Phone
(580) 213-2782

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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