Organization
LIBERTY OF OKLAHOMA CORPORATION
Active
Parent organization
LIBERTY OF OKLAHOMA CORPORATION
Other names
Laura Dester Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY OF OKLAHOMA CORPORATION
Authorized official
HUGH M. SAGE PHD (CHIEF EXECUTIVE OFFICER)
(580) 213-2782
Entity
Organization
Contact information
Practice address
7318 E PINE ST, TULSA, OK 74115-5743
(539) 292-4607
Mailing address
7318 E PINE ST, TULSA, OK 74115-5743
(539) 292-4607
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NH7255-7255
—
OK
Enumeration date
04/09/2019
Last updated
04/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us