Eidetik Of Weleetka, Llc in Henryetta - Intermediate Care Facility, Intellectual Disabilities
Eidetik Of Weleetka, Llc - NPI 1801016407
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 1801016407. 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 | 1801016407 |
|---|---|
| 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 | 200001110A |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200001110A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eidetik Of Weleetka, Llc by the Centers for Medicare & Medicaid Services?
The Eidetik Of Weleetka, Llc has been assigned the NPI (National Provider Identifier) 1801016407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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 the Eidetik Of Weleetka, Llc's area of specialization and corresponding taxonomy classification?
The Eidetik Of Weleetka, Llc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1801016407 assigned to Eidetik Of Weleetka, Llc?
The Eidetik Of Weleetka, Llc was issued its 1801016407 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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 2022-12-23.
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