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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