Martha Lloyd Crf Bloss House
NPI #1609030188 in Blossburg, Pennsylvania
Provider Information
- NPI Number
- 1609030188
- Entity Type
- Organization
- Organization Name
- Martha Lloyd Crf Bloss House
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 15, 2008
- Last Updated
- Jul 15, 2008
Practice Location
- Address
- 206 S WILLIAMSON RD
- City
- Blossburg
- State
- Pennsylvania
- ZIP Code
- 16912-1011
- Phone
- (570) 297-2185
Authorized Official
- Name
- WILLIAM MILLER
- Title
- DIRECTOR
- Phone
- (570) 297-2185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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