Cross Creek Manor, Llc in La Verkin - Residential Treatment Facility, Emotionally Disturbed Children

Cross Creek Manor, Llc - NPI 1356476873

Cross Creek Manor, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in La Verkin, Utah. Cross Creek Manor, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Cross Creek Manor, Llc is 1356476873. The last update date is 2020-08-22.

Cross Creek Manor, Llc's current location address is 50 S State St, La Verkin, Utah. You can contact this provider via phone number 4356352390 and fax number 4356352778. The mailing address for Cross Creek Manor, Llc is 50 S State St, La Verkin, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cross Creek Manor, Llc
Address 50 S State St, La Verkin, Utah
Phone Number 4356352390
Fax Number 4356352778
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Farnsworth Karr
Telephone Number 4356356003

NPI Number Detail

NPI Number 1356476873
Provider Enumeration Date 2007-02-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 50 S State St
City La Verkin
State Utah (UT)
Post Code 847455400
Phone Number 4356352390
Fax Number 4356352778

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 12143
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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FAQs about Cross Creek Manor, Llc

What is the unique identifier code issued to Cross Creek Manor, Llc by the Centers for Medicare & Medicaid Services?

The Cross Creek Manor, Llc has been assigned the NPI (National Provider Identifier) 1356476873. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Cross Creek Manor, Llc?

The Cross Creek Manor, Llc is physically situated at 50 S State St, in the city of La Verkin, state of UT, with the postal code 847455400.

What is Cross Creek Manor, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cross Creek Manor, Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.

When did Cross Creek Manor, Llc receive its 1356476873 assignment?

The Cross Creek Manor, Llc was assigned its 1356476873 on 2007-02-23, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Cross Creek Manor, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Cross Creek Manor, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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