institution
Martha Lloyd Crf Coppertree
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Troy, Pennsylvania
NPI 1528229804

Martha Lloyd Crf Coppertree is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Troy, PA. Martha Lloyd Crf Coppertree practices in Troy, PA. The NPI Number for Martha Lloyd Crf Coppertree is 1528229804 and holds a License No. 202850 (Pennsylvania).

The current practice location address for Martha Lloyd Crf Coppertree is 20 Ballard St, Troy, PA and can be reached out via phone at 570-297-2185 and via fax at 570-297-1019.

Location: 20 Ballard St, Troy, PA, 16947-1131
institution
Provider Profile Details
NPI Number
1528229804
Provider Name
Martha Lloyd Crf Coppertree
Credential
Provider Entity Type
Organization
Address
20 Ballard St, Troy, PA, 16947-1131
Phone Number
570-297-2185
Fax Number
570-297-1019
Provider Enumeration Date
06/19/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1015544810023 05 PA
institution
Provider Business Practice Location Address Details
Address
20 Ballard St
City
State
Zip
16947-1002
Phone Number
570-297-2185
Fax Number
570-297-1019
person
Provider Business Mailing Address Details
Address
20 Ballard St
City
State
Zip
16947-1002
Phone Number
570-297-2185
Fax Number
570-297-1019
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
202850 (Pennsylvania)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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