Eidetik of Weleekta, L.l.c.

NPI #1407972045 in Henryetta, Oklahoma

Provider Information

NPI Number
1407972045
Entity Type
Organization
Organization Name
Eidetik of Weleekta, L.l.c.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1201 W TRUDGEON ST
ZIP Code
74437-4007
Phone
(918) 650-9393

Authorized Official

Name
ROY BENTLEY
Title
EXECUTIVE DIRECTOR
Phone
(918) 650-9393

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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