Eidetik Of Weleetka, Llc in Henryetta - Intermediate Care Facility, Intellectual Disabilities
Eidetik Of Weleetka, Llc - NPI 1245450840
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 1245450840. The last update date is 2022-12-23.
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 | 1245450840 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2022-12-23 |
Provider Mailing Address Detail
| Address | 1201 W. Trudgeon St. |
|---|---|
| City | Henryetta |
| State | Oklahoma (OK) |
| Post Code | 74437 |
| Phone Number | 9186509393 |
| Fax Number | 9186500270 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 200001110G |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200001110G | OK | -- |
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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) 1245450840. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eidetik Of Weleetka, Llc?
The Eidetik Of Weleetka, Llc is situated at 1201 W. Trudgeon St., in the city of Henryetta, state of OK, with the zip code 74437.
What is the Eidetik Of Weleetka, Llc's specialty and taxonomy code?
The Eidetik Of Weleetka, Llc's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245450840 to Eidetik Of Weleetka, Llc?
The Eidetik Of Weleetka, Llc received its 1245450840 assignment from the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information regarding Eidetik Of Weleetka, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eidetik Of Weleetka, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-12-23.
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