Martha Lloyd Crf Brookside in Troy - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Martha Lloyd Crf Brookside - NPI 1407010986

Martha Lloyd Crf Brookside is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Troy, Pennsylvania. Martha Lloyd Crf Brookside practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Martha Lloyd Crf Brookside is 1407010986. The last update date is 2008-07-15.

Martha Lloyd Crf Brookside's current location address is 190 W Main St, Troy, Pennsylvania. You can contact this provider via phone number 5702972185 and fax number 5702971019. The mailing address for Martha Lloyd Crf Brookside is 190 W Main St, Troy, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Martha Lloyd Crf Brookside
Address 190 W Main St, Troy, Pennsylvania
Phone Number 5702972185
Fax Number 5702971019
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Miller William
Telephone Number 5702972185

NPI Number Detail

NPI Number 1407010986
Provider Enumeration Date 2008-07-15
Last Updated Date 2008-07-15

Provider Mailing Address Detail

Address 190 W Main St
City Troy
State Pennsylvania (PA)
Post Code 169471131
Phone Number 5702972185
Fax Number 5702971019

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1015544810012 PA --

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FAQs about Martha Lloyd Crf Brookside

What is the unique 10-digit identifier code assigned to Martha Lloyd Crf Brookside by the Centers for Medicare & Medicaid Services?

The Martha Lloyd Crf Brookside has been issued the NPI (National Provider Identifier) 1407010986 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Martha Lloyd Crf Brookside's facilities are situated?

The facilities of Martha Lloyd Crf Brookside are physically located at the following address: 190 W Main St, Troy, PA, 169471131.

What is Martha Lloyd Crf Brookside's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Martha Lloyd Crf Brookside's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1407010986 to Martha Lloyd Crf Brookside?

The Centers for Medicare & Medicaid Services assigned the 1407010986 to Martha Lloyd Crf Brookside on 2008-07-15.

As of what date was the information regarding Martha Lloyd Crf Brookside, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Martha Lloyd Crf Brookside, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-15.

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