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EIDETIK OF WELEEKTA, L.L.C.
NPI 1407972045
Intermediate Care Facility, Intellectual Disabilities in Henryetta, OK

Active since March 22, 2007
1201 W TRUDGEON ST, HENRYETTA, OK 74437(918) 650-9393(918) 650-0270 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eidetik Of Weleekta, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EIDETIK OF WELEEKTA, L.L.C. (NPI 1407972045) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Henryetta, Oklahoma and active in the NPI registry since March 2007. The organization lists Roy Bentley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407972045
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEIDETIK OF WELEEKTA, L.L.C.
Location Address1201 W TRUDGEON STHenryetta, OK 74437-4007
Mailing Address1201 W Trudgeon StHenryetta, OK 74437-4007 · (918) 650-9393 · Fax (918) 650-0270
Phone(918) 650-9393
Fax(918) 650-0270
Organization SubpartNo
Authorized OfficialRoy BentleyExecutive Director · (918) 650-9393
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407972045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1201 W TRUDGEON ST, Henryetta, OK 74437
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA. LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eidetik Of Weleekta, L.L.C.'s NPI number?

The NPI number for Eidetik Of Weleekta, L.L.C. is 1407972045. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Eidetik Of Weleekta, L.L.C. located?

Eidetik Of Weleekta, L.L.C. is located at 1201 W Trudgeon St, Henryetta, OK 74437. The listed phone number is (918) 650-9393.

What is Eidetik Of Weleekta, L.L.C.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Eidetik Of Weleekta, L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.