Organization · Type 2 NPI

Liberty of Oklahoma Corporation

Mental Illness Intermediate Care Facility · Enid, OK

NPI number 1932286119 Active

Practice location

2616 North 30th Street
Enid, OK 73701-8760

Fax (580) 213-2799

Specialties and licenses

Taxonomy	Code	License
Mental Illness Intermediate Care Facility Primary	310500000X	None listed
Intellectual Disabilities Intermediate Care Facility	315P00000X	NH24142414 (OK)

Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

3 other providers at this address

NPI record

NPI: 1932286119
Entity type: Organization (Type 2)
Issued: Nov 1, 2006
Last updated: Jan 26, 2023
Status: Active

Other names

<unavail>
Robert M. Greer Center · doing business as
Robert M. Greer Center · doing business as

Authorized official

Hugh M. Sage, PhD
Executive Director
(580) 213-2782

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932286119

Liberty of Oklahoma Corporation's National Provider Identifier is 1932286119, issued on Nov 1, 2006. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Enid, OK. The record was last updated on Jan 26, 2023.