Organization
UNITED COMMUNITY INDEPENDENCE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BILLIE LOU SHIELDS (CHIEF FISCAL OFFICER)
(814) 336-4157
Entity
Organization
Contact information
Practice address
2709 SAWMILL RD, LUCINDA, PA 16235-4623
(814) 336-4157
(814) 336-4178
Mailing address
17999 CUSSEWAGO RD, PO BOX 437, MEADVILLE, PA 16335-6254
(814) 336-4157
(814) 336-4178
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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