Eidetik Of Weleetka, Llc in Henryetta - Intermediate Care Facility, Intellectual Disabilities
Eidetik Of Weleetka, Llc - NPI 1821218421
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 1821218421. 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 | 1821218421 |
|---|---|
| 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 | 200001110H |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200001110H | OK | -- |
Post Comment/ Review Below
What is the unique identifier 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) 1821218421. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eidetik Of Weleetka, Llc located?
The Eidetik Of Weleetka, Llc is located at 1201 W. Trudgeon St., Henryetta, OK 74437.
What is the area of specialization for Eidetik Of Weleetka, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eidetik Of Weleetka, Llc is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did Eidetik Of Weleetka, Llc receive its 1821218421 assignment from the Centers for Medicare & Medicaid Services?
The Eidetik Of Weleetka, Llc was assigned its 1821218421 on 2007-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Eidetik Of Weleetka, Llc last refreshed?
The information related to the Eidetik Of Weleetka, Llc, including its address, specialty, and other relevant details, was last updated on 2022-12-23.