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Liberty Of Oklahoma Corporation
Intellectual Disabilities Intermediate Care Facility in Tulsa, Oklahoma
NPI 1104389006

Liberty Of Oklahoma Corporation is a Intellectual Disabilities Intermediate Care Facility based in Tulsa, OK. Liberty Of Oklahoma Corporation practices in Tulsa, OK. The NPI Number for Liberty Of Oklahoma Corporation is 1104389006 and holds a License No. (Oklahoma).

The current practice location address for Liberty Of Oklahoma Corporation is 7318 E Pine St, Tulsa, OK and can be reached out via phone at 539-292-4607.

Location: 7318 E Pine St, Tulsa, OK, 74115-5743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104389006
Provider Name
Liberty Of Oklahoma Corporation
Credential
Provider Entity Type
Organization
Address
7318 E Pine St, Tulsa, OK, 74115-5743
Phone Number
539-292-4607
Fax Number
Provider Enumeration Date
04/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NH7255-7255 05 OK
institution
Provider Business Practice Location Address Details
Address
7318 E Pine St
City
Tulsa
State
Oklahoma
Zip
74115-5743
Phone Number
539-292-4607
Fax Number
person
Provider Business Mailing Address Details
Address
7318 E Pine St
City
Tulsa
State
Oklahoma
Zip
74115-5743
Phone Number
539-292-4607
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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