Liberty Of Oklahoma Corporation

LBN: Liberty Of Oklahoma Corporation
Liberty Of Oklahoma Corporation is an health care organization with primary practice located at 7318 E Pine St , Tulsa OK 74115-5743. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Liberty Of Oklahoma Corporation can be contacted via phone (539) 292-4607, or through Sage, Hugh M. via phone (580) 213-2782.

Contact Information

Primary practice address
7318 E Pine St Tulsa OK 74115-5743
Phone: (539) 292-4607
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sage, Hugh M. PHD
Phone: (580) 213-2782

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1104389006
LBN Legal business name Liberty Of Oklahoma Corporation
DBA Doing business as
Authorized official Sage, Hugh M. PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 9th, 2019
Last updated Apr 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104389006 NPPES
Oklahoma MEDICAID NH7255-7255

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