Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
AVALONIA GROUP HOMES, INC.
Active
Organization
AVALONIA GROUP HOMES, INC.
Active
Other names
Hampton P.R.T.F.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN J. SHORT III J.D. (PRESIDENT)
(864) 313-6967
Entity
Organization
Contact information
Practice address
404 HAMPTON AVE, PICKENS, SC 29671-2608
(864) 897-8050
(864) 878-7276
Mailing address
PO BOX 1214, PICKENS, SC 29671-1214
(864) 897-8050
(864) 878-7276
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
RTF-0020
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RTF-0020
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIORNMENTAL CONTROL
SC
Enumeration date
10/09/2008
Last updated
10/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up