Organization
IFC MENTAL RETARDATION SERVICES, INC.
Active
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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