Organization · Type 2 NPI

Eidetik of Weleekta, L.l.c.

Intellectual Disabilities Intermediate Care Facility · Henryetta, OK

NPI number 1407972045 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 315P00000XNone listed

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

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About NPI 1407972045

Eidetik of Weleekta, L.l.c.'s National Provider Identifier is 1407972045, issued on Mar 22, 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 Aug 22, 2020.