Eidetik Of Weleetka, Llc in Henryetta - Intermediate Care Facility, Intellectual Disabilities
Eidetik Of Weleetka, Llc - NPI 1629298229
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 1629298229. 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 | 1629298229 |
|---|---|
| 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 | 200002020A |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200002020A | OK | -- |
Post Comment/ Review Below
What is the Eidetik Of Weleetka, Llc's unique identification number?
The Eidetik Of Weleetka, Llc has been assigned the NPI (National Provider Identifier) Number 1629298229 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Eidetik Of Weleetka, Llc is physically located?
The Eidetik Of Weleetka, Llc is physically situated at the following address: 1201 W. Trudgeon St., Henryetta, OK, 74437.
What is Eidetik Of Weleetka, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eidetik Of Weleetka, Llc's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Eidetik Of Weleetka, Llc receive its 1629298229 assignment from the Centers for Medicare & Medicaid Services?
The Eidetik Of Weleetka, Llc was assigned its 1629298229 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information pertaining to Eidetik Of Weleetka, Llc most recently updated or revised?
The details related to Eidetik Of Weleetka, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-23.