Avalonia Group Homes, Inc.
Organization Active NPI Psychiatric Residential Treatment Facility · Pickens, SC
NPI 1508017476 · NPPES record last updated Oct 9, 2008
Key facts
- NPI
- 1508017476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- RTF-0020 (SC)
- Legal business name
- AVALONIA GROUP HOMES, INC.
- Practice address
- 404 Hampton Ave
Pickens, SC 29671-2608 - Phone
- (864) 897-8050
- Fax
- (864) 878-7276
- NPI assigned
- Oct 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Marvin J. Short III, J.D.
- Title
- President
- Phone
- (864) 313-6967
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Avalonia Group Homes Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | RTF-0020 | SC | Yes |
Addresses
Primary practice location
404 Hampton Ave
Pickens, SC 29671-2608
Mailing address
PO Box 1214
Pickens, SC 29671-1214
Phone (864) 897-8050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RTF-0020 | Other | SC | SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIORNMENTAL CONTROL |
Other names
- Hampton P.R.T.F.
Other providers in Pickens, SC
- Anmed Health
- Anmed Health
- Anmed Health
- Elizabeth Marler Armstrong
- Tiffany Anne Atchison
- Avalonia Group Homes, Inc.
- Benjamin Thomas Avritt
- Pamela R Avritt
- Janet Tripp Ayers
- Rebecca Bardos
All providers in Pickens, SC · Psychiatric Residential Treatment Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.