EIDETIK OF WELEETKA, LLC

HENRYETTA, OK
NPI1427278027
Doing Business AsATLANTA PLACE
Other NameTHE REACH CORPORATION-NAME TO BE CHANGES TO
Entity TypeOrganization
Authorized ContactLAILA BEAVEN
Registered Agent
270-389-1919
Organization Subpart ?Yes
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
(Licence: OK  200001110E)
Enumeration Date2007-04-26
Last Update Date2022-12-23
Business Address
EIDETIK OF WELEETKA, LLC
1201 W TRUDGEON ST
HENRYETTA, OK 74437-4007
Phone number: 918-650-9393
Mailing Address
EIDETIK OF WELEETKA, LLC
1201 W. TRUDGEON ST.
HENRYETTA, OK 74437
Phone number: 918-650-9393