NPI 1104389006

Liberty of Oklahoma Corporation

Organisation Intellectual Disabilities Intermediate Care Facility Tulsa, OK

Practice location

Address: 7318 E Pine St, Tulsa, OK 74115-5743
Phone: (539) 292-4607

Authorised official

Name: Hugh M. Sage
Title: Chief Executive Officer
Phone: (580) 213-2782

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1104389006
Entity type: Organization
NPI issued: 9 Apr 2019
Record last updated: 9 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.