Organization
FICO INNOVATIVE CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEE SPIKER (DIRECTOR)
(814) 233-8737
Entity
Organization
Contact information
Practice address
253 KRETCHMAN FARM RD, MEYERSDALE, PA 15552-6134
(814) 233-8737
(814) 634-0546
Mailing address
253 KRETCHMAN FARM RD, MEYERSDALE, PA 15552-6134
(814) 233-8737
(814) 634-0546
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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