Lake Place
LAKE PLACE official legal name EIDETIK OF WELEETKA, LLC is located at 1201 W TRUDGEON ST, Henryetta, Oklahoma. LAKE PLACE primary taxonomy is Intermediate Care Facility, Mentally Retarded in the state of Oklahoma.
| Organization Legal Name | EIDETIK OF WELEETKA, LLC |
| Organization Other Name | LAKE PLACE |
| NPI | 1629298229 |
| City | Henryetta |
| State | Oklahoma |
| Address 1 | 1201 W TRUDGEON ST |
| Postal Code | 74437 |
| Phone | 9186509393 |
| Fax | 9186500270 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mentally Retarded |