Organization
MARTHA LLOYD ICF BROOKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MACHMER (ICF DIRECTOR)
(570) 297-2185
Entity
Organization
Contact information
Practice address
280 BROOKLYN ST, MANSFIELD, PA 16933-9701
(570) 662-3124
Mailing address
190 W MAIN ST, TROY, PA 16947-1131
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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