Eidetik Of Weleetka, Llc

NPI 1003036609 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1003036609
Enumeration Date 04/26/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROY ROY
Position EXECUTIVE DIRECTOR
Phone (918) 650-9393
Fax (918) 650-0270
Practice Location
1201 W TRUDGEON ST
HENRYETTA OK, 74437-4007, US
Phone (918) 650-9393
Fax (918) 650-0270
Business Location
1201 W TRUDGEON ST
HENRYETTA OK, 74437-4007, US
Phone (918) 650-9393
Fax (918) 650-0270
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
Remove 1003036609 NPI Number
 

According to our database, Eidetik Of Weleetka, Llc NPI is 1003036609, taxonomy code is 315P00000X Eidetik Of Weleetka, Llc physically located at 1201 W Trudgeon St, Henryetta OK, 74437-4007. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003036609 NPI number is provided on an as is basis without warranty of any kind. 1003036609 is maintained by the National Plan & Provider Enumeration System. The contents of Eidetik Of Weleetka, Llc are for informational purposes only.