Avalon Hills Adult Health Care, Inc
Organization Active NPI Psychiatric Residential Treatment Facility · Paradise, UT
NPI 1851494710 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1851494710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- 11234 (UT)
- Legal business name
- AVALON HILLS ADULT HEALTH CARE, INC
- Practice address
- 550 W Mount Pisgah Rd
Paradise, UT 84328 - Phone
- (435) 938-6060
- Fax
- (435) 755-0439
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Benita J Quakenbush
- Title
- Owner
- Phone
- (435) 938-6060
Practitioners 4
-
Leslie Kae Dickey, LPN
-
Donald Lee Hebert, MFT
-
Chad B Speth, FNP
-
Nathon D. Wood, PHD,LMFT
National Provider Directory
Locations
8530 S 500 W
Paradise, UT 84328
Phone (435) 789-3865
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 11234 | UT | Yes |
Addresses
Primary practice location
550 W Mount Pisgah Rd
Paradise, UT 84328
Mailing address
PO Box 3412
Logan, UT 84323-3412
Phone (435) 938-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82090000001001 | Other | UT | BLUE CROSS BLUE SHIELD |
Other providers in Paradise, UT
- Avalon Hills Health Care, Inc
- Rebecka Anderson Bankhead
- Stacie Coombs
- Leslie Kae Dickey
- Donald Lee Hebert
All providers in Paradise, UT · Psychiatric Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. 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.