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Martha Lloyd CRF Brookside

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

NPI 1407010986 · NPPES record last updated Jul 15, 2008

Key facts

NPI
1407010986
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
MARTHA LLOYD CRF BROOKSIDE
Practice address
70 Ballard St
Troy, PA 16947
Phone
(570) 297-2185
Fax
(570) 297-1019
NPI assigned
Jul 15, 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)

Locations

70 Ballard St
Troy, PA 16947

Specialties & licenses

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

Addresses

Primary practice location

70 Ballard St
Troy, PA 16947

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1015544810012MedicaidPA

Other providers in Troy, PA

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

Sources for this page

Verify at the official NPI Registry.