DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EIDETIK OF WELEETKA, LLC

Active Organization

ICF/Individuals with Intellectual Disabilities · HENRYETTA, OK

Registration Details

NPI Number
1518187111
Provider Type
Organization
NPI Issued
Apr 26, 2007 (18.988935806538 yrs)
Last Updated
Dec 23, 2022
License
200001110D (OK)

Practice Information

Address
1201 W TRUDGEON ST
HENRYETTA, OK, 744374007
Browse OK providers · Browse ZIP 74437
Phone
9186509393
Fax
9186500270

Other ICF/Individuals with Intellectual Disabilities Organizations in HENRYETTA, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.