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Organization
CROSS CREEK MANOR, LLC
Active
Organization
CROSS CREEK MANOR, LLC
Active
Other names
CROSS CREEK MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARR FARNSWORTH (DIRECTOR)
(435) 635-6003
Entity
Organization
Contact information
Practice address
150 N STATE ST, LA VERKIN, UT 84745-5503
(435) 635-2390
(435) 635-2778
Mailing address
50 S STATE ST, LA VERKIN, UT 84745-5400
(435) 635-2390
(435) 635-2778
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
12143
UT
323P00000X
Psychiatric Residential Treatment Facility
12145
UT
Other
Enumeration date
02/23/2007
Last updated
09/11/2025
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