Ici
NPI #1306142864 in Gainesville, Florida
Provider Information
- NPI Number
- 1306142864
- Entity Type
- Organization
- Organization Name
- Ici
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Feb 1, 2011
- Last Updated
- Feb 1, 2011
Practice Location
- Address
- 9462 SW 31ST LN
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32608-7921
- Phone
- (352) 222-8968
Authorized Official
- Name
- SVETLANA KOROTKEVICH
- Title
- REG AGENT
- Phone
- (352) 222-8968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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