Liberty of Oklahoma Corporation

NPI #1932286119 in Enid, Oklahoma

Provider Information

NPI Number: 1932286119
Entity Type: Organization
Organization Name: Liberty of Oklahoma Corporation
Primary Specialty: Intermediate Care Facility, Mental Illness
Enumeration Date: Nov 1, 2006
Last Updated: Jan 26, 2023

Practice Location

Address: 2616 NORTH 30TH STREET
City: Enid
State: Oklahoma
ZIP Code: 73701-8760
Phone: (580) 548-2699

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X
Intermediate Care Facility, Mental Illness	310500000X	Primary

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