Whalio Doctors

NPI 1881855427

Martha Lloyd Crf 1st Street

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Mansfield, PA

Practice location

Address
41 1st St, Mansfield, PA 16933-1211
Phone
(570) 297-2185
Fax
(570) 297-1019
Mailing address
190 W Main St, Troy, PA 16947-1131

Authorised official

Name
William Miller
Title
Director
Phone
(570) 297-2185

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 216180 (PA)

Registry record

NPI
1881855427
Entity type
Organization
NPI issued
17 Jun 2008
Record last updated
17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.