EIDETIK OF WELEETKA, LLC

HENRYETTA, OK
NPI1710107313
Doing Business AsTHE REACH CORPORATION
Doing Business AsBEVERLY PLACE
Entity TypeOrganization
Authorized ContactLAILA BEAVEN
Registered Agent
270-389-1919
Organization Subpart ?No
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
(Licence: OK  200001110B)
Enumeration Date2007-04-26
Last Update Date2022-12-21
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 74437-4007
Phone number: 918-650-9393