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Liberty Of Oklahoma Corporation
Intellectual Disabilities Intermediate Care Facility in Enid, Oklahoma
NPI 1932286119

Liberty Of Oklahoma Corporation is a Intellectual Disabilities Intermediate Care Facility based in Enid, OK. Liberty Of Oklahoma Corporation practices in Enid, OK. The NPI Number for Liberty Of Oklahoma Corporation is 1932286119 and holds a License No. (Oklahoma).

The current practice location address for Liberty Of Oklahoma Corporation is 2616 North 30Th Street, Enid, OK and can be reached out via phone at 580-548-2699 and via fax at 580-213-2799.

Location: 2616 North 30Th Street, Enid, OK, 73701-8760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932286119
Provider Name
Liberty Of Oklahoma Corporation
Credential
Provider Entity Type
Organization
Address
2616 North 30Th Street, Enid, OK, 73701-8760
Phone Number
580-548-2699
Fax Number
580-213-2799
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100769310A 05 OK
institution
Provider Business Practice Location Address Details
Address
2616 North 30Th Street
City
Enid
State
Oklahoma
Zip
73701-8760
Phone Number
580-548-2699
Fax Number
580-213-2799
person
Provider Business Mailing Address Details
Address
2616 North 30Th Street
City
Enid
State
Oklahoma
Zip
73701-8760
Phone Number
580-548-2699
Fax Number
580-213-2799
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
NH24142414 (Oklahoma)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
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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