Organization
MILFORD RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HAYNES MALCOLM (PRESIDENT)
(570) 664-7900
Entity
Organization
Contact information
Practice address
2200 MILFORD ROAD, EAST STROUDSBURG, PA 18301
(570) 664-7900
(570) 664-7383
Mailing address
PO BOX 572, BLOOMFIELD, NJ 07003
(570) 664-7900
(570) 664-7383
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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