NPI 1932286119

Liberty of Oklahoma Corporation

Organisation Mental Illness Intermediate Care Facility Enid, OK

Practice location

Address: 2616 North 30th Street, Enid, OK 73701-8760
Phone: (580) 548-2699
Fax: (580) 213-2799

Authorised official

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

Registered specialties (2)

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Oklahoma →

Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH24142414 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1932286119
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 26 Jan 2023

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.