Eidetik of Weleetka LLC
Eidetik of Weleetka LLC is an Intellectual Disabilities Intermediate Care Facility in Henryetta, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1201 W Trudgeon StHenryetta, OK 74437-4007
Phone: (918) 650-9393
Fax: (918) 650-0270
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 100769440B (OK) |
|---|
Record details
| NPI number | 1538389135 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eidetik of Weleetka, LLC |
| Authorized official | Laila Beaven — Registered Agent · (270) 389-1919 |
| Other names | Freedom Place; The Reach Corporation-Name To Be Changed To |
| NPI enumerated | April 26, 2007 |
| Last updated in NPPES | December 23, 2022 |
| Certification date | December 23, 2022 |
| Mailing address | 1201 W. Trudgeon St., Henryetta, OK 74437 |
Other providers in Henryetta
-
Eidetik of Weleetka, LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Eidetik of Weleetka, LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Eidetik of Weleetka, LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Eidetik of Weleetka, LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Lake Drive Health Care LLC
600 Lake Rd, Henryetta, OK 74437-5415 · (918) 652-8101
-
Peak Medical Oklahoma No 12, Inc
600 Lake Rd, Henryetta, OK 74437-5415 · (918) 652-8101