Organization · Type 2 NPI

Eidetik of Weleetka, LLC

Intellectual Disabilities Intermediate Care Facility · Henryetta, OK

NPI number 1386864981 Active

Practice location

1201 W Trudgeon
Henryetta, OK 74437-4007

Call (918) 650-9393 Map

Fax (918) 650-0270

Mailing address

1201 W Trudgeon St
Henryetta, OK 74437

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X100769950A (OK)

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

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About NPI 1386864981

Eidetik of Weleetka, LLC's National Provider Identifier is 1386864981, 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 Jan 27, 2023.