Eidetik of Weleetka, LLC
NPI #1003036609 in Henryetta, Oklahoma
Provider Information
- NPI Number
- 1003036609
- Entity Type
- Organization
- Organization Name
- Eidetik of Weleetka, LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Dec 21, 2022
Practice Location
Authorized Official
- Name
- LAILA BEAVEN
- Title
- REGISTERED AGENT
- Phone
- (270) 389-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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