The Reach Corporation Oneida Place

LBN: Eidetik Of Weleetka
The Reach Corporation Oneida Place is an health care organization with primary practice located at 1201 W Trudgeon St , Henryetta OK 74437-4007. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Eidetik Of Weleetka can be contacted via phone (918) 650-9393, or through Beaven, Laila via phone (270) 389-1919.

Contact Information

Primary practice address
1201 W Trudgeon St Henryetta OK 74437-4007
Phone: (918) 650-9393
Fax: (918) 650-0270
Website:
Map and Directions
Authorized official contact:
Name: Beaven, Laila
Phone: (270) 389-1919

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 200001070A Oklahoma

Profile Details

NPI number 1992925598
LBN Legal business name Eidetik Of Weleetka
DBA Doing business as The Reach Corporation Oneida Place
Authorized official Beaven, Laila
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 26th, 2007
Last updated Feb 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992925598 NPPES
Oklahoma MEDICAID 200001070A

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