Eidetik Of Weleetka, Llc in Henryetta - Intermediate Care Facility, Intellectual Disabilities
Eidetik Of Weleetka, Llc - NPI 1003036609
Eidetik Of Weleetka, Llc is a Intermediate Care Facility, Intellectual Disabilities in Henryetta, Oklahoma. Eidetik Of Weleetka, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Eidetik Of Weleetka, Llc is 1003036609. The last update date is 2022-12-21.
Eidetik Of Weleetka, Llc's current location address is 1201 W Trudgeon St, Henryetta, Oklahoma. You can contact this provider via phone number 9186509393 and fax number 9186500270. The mailing address for Eidetik Of Weleetka, Llc is 1201 W Trudgeon St, Henryetta, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eidetik Of Weleetka, Llc |
|---|---|
| Address | 1201 W Trudgeon St, Henryetta, Oklahoma |
| Phone Number | 9186509393 |
| Fax Number | 9186500270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGISTERED |
|---|---|
| Authorized Official Name | Beaven Laila |
| Telephone Number | 2703891919 |
NPI Number Detail
| NPI Number | 1003036609 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
| Address | 1201 W Trudgeon St |
|---|---|
| City | Henryetta |
| State | Oklahoma (OK) |
| Post Code | 744374007 |
| Phone Number | 9186509393 |
| Fax Number | 9186500270 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 100770750A |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100770750A | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eidetik Of Weleetka, Llc by the Centers for Medicare & Medicaid Services?
The Eidetik Of Weleetka, Llc has been issued the NPI (National Provider Identifier) 1003036609. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Eidetik Of Weleetka, Llc is geographically located?
The Eidetik Of Weleetka, Llc is physically situated at the following location: 1201 W Trudgeon St, Henryetta, OK, 744374007.
What is Eidetik Of Weleetka, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eidetik Of Weleetka, Llc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
When was the Eidetik Of Weleetka, Llc's 1003036609 issued?
The Eidetik Of Weleetka, Llc's 1003036609 was issued on 2007-04-26.
When was the Eidetik Of Weleetka, Llc's information last updated?
The Eidetik Of Weleetka, Llc's information was last updated on 2022-12-21.