Organization
INTEGRATED CARE CORP, INC
Active
Other names
The Integrated Care Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
RICK PANICHELLE (FISCAL OPERATOR)
(724) 593-7447
Entity
Organization
Contact information
Practice address
371 BETHEL CHURCH RD, LIGONIER, PA 15658-2074
(724) 593-7447
(724) 593-7448
Mailing address
371 BETHEL CHURCH RD, LIGONIER, PA 15658-2074
(724) 593-7447
(724) 593-7448
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
07/29/2010
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