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
DR. HUGH M. SAGE PHD (EXECUTIVE DIRECTOR)
(580) 542-5775
Entity
Organization
Contact information
Practice address
7318 E PINE ST, TULSA, OK 74115-5743
(539) 292-4607
(539) 292-4691
Mailing address
7318 E PINE ST, TULSA, OK 74115-5743
(539) 292-4607
(539) 292-4691
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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