CROSS CREEK MANOR LLC NPI 1356476873

NPI Information

CROSS CREEK MANOR, LLC is a residential treatment facility emotionally disturbed children in La Verkin, UT. The provider is 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. CROSS CREEK MANOR, LLC NPI is 1356476873. The provider is registered as an organization entity type.
The provider Other Name Is Cross Creek Manor.

The provider's business location address is:

150 N STATE ST
LA VERKIN, UT
ZIP 84745-503
Phone: (435) 635-2390
Fax: (435) 635-2778

The provider's authorized official is Karr Farnsworth .
The authorized official title is Director and has the following contact phone number (435) 635-6003.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.