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Martha Lloyd CRF Atf Trans

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mansfield, PA

NPI 1043472525 · NPPES record last updated Jun 26, 2008

Key facts

NPI
1043472525
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
202420 (PA)
Legal business name
MARTHA LLOYD CRF ATF TRANS
Practice address
105 Saint James PL
Mansfield, PA 16933
Phone
(570) 297-2185
Fax
(570) 297-1019
NPI assigned
Jun 26, 2008
Organization subpart
No

Authorized official

Name
William Miller
Title
Director
Phone
(570) 297-2185

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

National Provider Directory

Tax ID family
Martha Lloyd Community Residential Facility (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 202420 PA Yes

Addresses

Primary practice location

105 Saint James PL
Mansfield, PA 16933

Mailing address

190 W Main St
Troy, PA 16947-1131
Phone (570) 297-2185

Other identifiers

IdentifierTypeStateIssuer
1015544810018MedicaidPA

Other providers in Mansfield, PA

All providers in Mansfield, PA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

Sources for this page

Verify at the official NPI Registry.