Organization · Type 2 NPI

Eidetik of Weleetka, LLC

Intellectual Disabilities Intermediate Care Facility · Henryetta, OK

NPI number 1003036609 Active

Practice location

1201 W Trudgeon St
Henryetta, OK 74437-4007

Call (918) 650-9393 Map

Fax (918) 650-0270

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X100770750A (OK)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1003036609

Eidetik of Weleetka, LLC's National Provider Identifier is 1003036609, issued on Apr 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Henryetta, OK. The record was last updated on Dec 21, 2022.