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Martha Lloyd Crf 1st Street
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mansfield, Pennsylvania
NPI 1881855427

Martha Lloyd Crf 1st Street is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Troy, PA. Martha Lloyd Crf 1st Street practices in Mansfield, PA. The NPI Number for Martha Lloyd Crf 1st Street is 1881855427 and holds a License No. 216180 (Pennsylvania).

The current practice location address for Martha Lloyd Crf 1st Street is 41 1St St, Mansfield, PA and can be reached out via phone at 570-297-2185 and via fax at 570-297-1019.

Location: 41 1St St, Mansfield, PA, 16947-1131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881855427
Provider Name
Martha Lloyd Crf 1st Street
Credential
Provider Entity Type
Organization
Address
41 1St St, Mansfield, PA, 16947-1131
Phone Number
570-297-2185
Fax Number
570-297-1019
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1015544810044 05 PA
institution
Provider Business Practice Location Address Details
Address
41 1St St
City
Mansfield
State
Pennsylvania
Zip
16933-1211
Phone Number
570-297-2185
Fax Number
570-297-1019
person
Provider Business Mailing Address Details
Address
41 1St St
City
Mansfield
State
Pennsylvania
Zip
16933-1211
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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