Organization
IFC MENTAL RETARDATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN BOWER MSW, LSW (CEO)
(814) 542-9282
Entity
Organization
Contact information
Practice address
20 N JEFFERSON ST, MOUNT UNION, PA 17066-1267
(814) 542-9282
(814) 514-1022
Mailing address
20 N JEFFERSON ST, MOUNT UNION, PA 17066-1267
(814) 542-9282
(814) 514-1022
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
310890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001646
DEPARTMENT OF PUBLIC WELFARE MASTER PROVIDER INDEX
PA
Enumeration date
08/15/2012
Last updated
08/15/2012
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