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Organization
LIBERTY OF OKLAHOMA CORPORATION
Active
Organization
LIBERTY OF OKLAHOMA CORPORATION
Active
Other names
Robert M. Greer Center
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH M. SAGE PHD (EXECUTIVE DIRECTOR)
(580) 213-2782
Entity
Organization
Contact information
Practice address
2616 NORTH 30TH STREET, ENID, OK 73701-8760
(580) 548-2699
(580) 213-2799
Mailing address
2616 NORTH 30TH STREET, ENID, OK 73701-8760
(580) 548-2699
(580) 213-2799
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
NH24142414
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100769310A
—
OK
Enumeration date
11/01/2006
Last updated
01/26/2023
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