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Martha Lloyd Crf Bloss House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Blossburg, Pennsylvania
NPI 1609030188

Martha Lloyd Crf Bloss House is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Troy, PA. Martha Lloyd Crf Bloss House practices in Blossburg, PA. The NPI Number for Martha Lloyd Crf Bloss House is 1609030188 and holds a License No. 216180 (Pennsylvania).

The current practice location address for Martha Lloyd Crf Bloss House is 206 S Williamson Rd, Blossburg, PA and can be reached out via phone at 570-297-2185 and via fax at 570-297-1019.

Location: 206 S Williamson Rd, Blossburg, PA, 16947-1131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609030188
Provider Name
Martha Lloyd Crf Bloss House
Credential
Provider Entity Type
Organization
Address
206 S Williamson Rd, Blossburg, PA, 16947-1131
Phone Number
570-297-2185
Fax Number
570-297-1019
Provider Enumeration Date
07/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1015544810032 05 PA
institution
Provider Business Practice Location Address Details
Address
206 S Williamson Rd
City
Blossburg
State
Pennsylvania
Zip
16912-1011
Phone Number
570-297-2185
Fax Number
570-297-1019
person
Provider Business Mailing Address Details
Address
206 S Williamson Rd
City
Blossburg
State
Pennsylvania
Zip
16912-1011
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
320900000X
License No.
216180 (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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