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MARTHA LLOYD CRF BLOSS HOUSE
NPI 1609030188
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Blossburg, PA

Active since July 15, 2008
206 S WILLIAMSON RD, BLOSSBURG, PA 16912(570) 297-2185(570) 297-1019 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martha Lloyd Crf Bloss House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA LLOYD CRF BLOSS HOUSE (NPI 1609030188) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Blossburg, Pennsylvania and active in the NPI registry since July 2008. The organization lists William Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1609030188
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMARTHA LLOYD CRF BLOSS HOUSE
Location Address206 S WILLIAMSON RDBlossburg, PA 16912-1011
Mailing Address190 W Main StTroy, PA 16947-1131 · (570) 297-2185 · Fax (570) 297-1019
Phone(570) 297-2185
Fax(570) 297-1019
Organization SubpartNo
Authorized OfficialWilliam MillerDirector · (570) 297-2185
Enumeration DateJuly 15, 2008
✔ NPI 1609030188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in PA · 216180
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
206 S WILLIAMSON RD, Blossburg, PA 16912
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Other Identifiers 1

Medicaid1015544810032PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Lloyd Crf Bloss House's NPI number?

The NPI number for Martha Lloyd Crf Bloss House is 1609030188. It was assigned to this organization in the NPPES registry on July 15, 2008.

Where is Martha Lloyd Crf Bloss House located?

Martha Lloyd Crf Bloss House is located at 206 S Williamson Rd, Blossburg, PA 16912. The listed phone number is (570) 297-2185.

What is Martha Lloyd Crf Bloss House's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Martha Lloyd Crf Bloss House was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.