Organization
MARTHA LLOYD SCHOOL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DEEGHAN (CFO)
(570) 297-2185
Entity
Organization
Contact information
Practice address
75 CEDAR RIDGE DRIVE, CANTON, PA 17724-1407
(570) 297-2185
Mailing address
66 LLOYD LN, TROY, PA 16947-1502
(570) 297-2185
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000699330
HIGHMARK BLUE SHIELD
PA
05
—
101554481
—
PA
01
—
1093843906
KARI WOOD
PA
01
—
1316910318
LORI PERRY CRNP
PA
01
—
1710946686
DR VANCE GOOD, MD
PA
01
—
1750361945
PHYSICIAN CARE PC
PA
Enumeration date
10/26/2012
Last updated
10/26/2012
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