Avila Residential Services, Inc.

LBN: Avila Residential Services, Inc.
Avila Residential Services, Inc. is an health care organization with primary practice located at 372 Live Oak Ln , Galax VA 24333-5476. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Avila Residential Services, Inc. can be contacted via phone (276) 238-7100, or through Avila, Nick R via phone (276) 238-7100.

Contact Information

Primary practice address
372 Live Oak Ln Galax VA 24333-5476
Fax:
Website:
Authorized official contact:
Name: Avila, Nick R

Profile Details

NPI number 1174249254
LBN Legal business name Avila Residential Services, Inc.
DBA Doing business as Avila Residential Services, Inc.
Authorized official Avila, Nick R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2022
Last updated Oct 16th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174249254 NPPES
Virginia MEDICAID 8568-14-035

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