LIBERTY OF OKLAHOMA CORPORATION
NPI 1104389006
Intermediate Care Facility, Intellectual Disabilities in Tulsa, OK
About Liberty Of Oklahoma Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY OF OKLAHOMA CORPORATION (NPI 1104389006), doing business as Laura Dester Children's Center, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tulsa, Oklahoma and active in the NPI registry since April 2019. The organization lists Hugh M. Sage, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Liberty Of Oklahoma Corporation's NPI number?
The NPI number for Liberty Of Oklahoma Corporation is 1104389006. It was assigned to this organization in the NPPES registry on April 9, 2019. The provider is doing business as Laura Dester Children's Center.
Where is Liberty Of Oklahoma Corporation located?
Liberty Of Oklahoma Corporation is located at 7318 E Pine St, Tulsa, OK 74115. The listed phone number is (539) 292-4607.
What is Liberty Of Oklahoma Corporation's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
When was this NPI record last updated?
The NPPES record for Liberty Of Oklahoma Corporation was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Liberty Of Oklahoma Corporation · NPI 1104389006
Intermediate Care Facility, Intellectual Disabilities organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1104389006 (Entity type: Organization)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Also known as:** Laura Dester Children's Center (Doing Business As)
- **Organization subpart:** Yes (part of Liberty Of Oklahoma Corporation)
- **Authorized official:** Hugh Sage, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 7318 E PINE ST, Tulsa, OK 74115-5743
- **Phone:** (539) 292-4607
## Record status
- **NPPES last updated:** April 9, 2019
- **Other identifiers:** Medicaid NH7255-7255 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1104389006) · Data from the CMS NPPES public registry.