EIDETIK OF WELEEKTA L.L.C. NPI 1407972045

NPI Information

  • NPI: 1407972045
  • Provider Name: EIDETIK OF WELEEKTA, L.L.C.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 1201 W TRUDGEON ST
    HENRYETTA, OK
    ZIP 74437
  • Phone: (918) 650-9393

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NPI Details

EIDETIK OF WELEEKTA, L.L.C. is an intermediate care facility mentally retarded in Henryetta, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EIDETIK OF WELEEKTA, L.L.C. NPI is 1407972045. The provider is registered as an organization entity type.

The provider's business location address is:

1201 W TRUDGEON ST
HENRYETTA, OK
ZIP 74437-007
Phone: (918) 650-9393
Fax: (918) 650-0270

The provider's authorized official is Roy Bentley .
The authorized official title is Executive Director and has the following contact phone number (918) 650-9393.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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