Eidetik Of Weleetka, Llc in Henryetta - Intermediate Care Facility, Intellectual Disabilities
Eidetik Of Weleetka, Llc - NPI 1386864981
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 1386864981. The last update date is 2023-01-27.
Eidetik Of Weleetka, Llc's current location address is 1201 W Trudgeon St, Henryetta, Oklahoma. You can contact this provider via phone number 9186509393. 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 | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGISTERED |
|---|---|
| Authorized Official Name | Beaven M Laila |
| Telephone Number | 2703891919 |
NPI Number Detail
| NPI Number | 1386864981 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2023-01-27 |
Provider Mailing Address Detail
| Address | 1201 W Trudgeon St |
|---|---|
| City | Henryetta |
| State | Oklahoma (OK) |
| Post Code | 74437 |
| Phone Number | 9186509393 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 100769950A |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100769950A | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eidetik Of Weleetka, Llc?
The Eidetik Of Weleetka, Llc has been issued the NPI (National Provider Identifier) 1386864981 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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 Eidetik Of Weleetka, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eidetik Of Weleetka, Llc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386864981 to Eidetik Of Weleetka, Llc?
The Centers for Medicare & Medicaid Services assigned the 1386864981 to Eidetik Of Weleetka, Llc on 2007-04-26.
As of what date was the information regarding Eidetik Of Weleetka, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eidetik Of Weleetka, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-27.
NPI Number: 1497758544
Address: 3418 Village Dr, Fayetteville, NC
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1699778720
Address: 150 4th Ave N Ste 2300, Nashville, TN
NPI Number: 1275536427
Address: 951 Wendover Height Dr, Shelby, NC
NPI Number: 1720081805
Address: 305 S Illinois St, Belleville, IL