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Organization

AVALON HILLS HEALTH CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENITA J QUAKENBUSH (OWNER)
(435) 938-6060
Entity
Organization

Contact information

Practice address
8530 S 500 W, PARADISE, UT 84328-7701
(435) 938-6060
Mailing address
PO BOX 790102, VERNAL, UT 84079-0102
(435) 789-3865
(435) 789-3895

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
11544
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82090000000001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
09/01/2006
Last updated
05/20/2022
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