OrganizationActive
Avila Residential Services, Inc.
NPI 1174249254 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galax, VA
Provider details
- NPI number
- 1174249254
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nick Avila, Executive Director/ Owner(276) 238-7100
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
Practice location
372 Live Oak Ln
Galax, VA 24333-5476
Phone: (276) 238-7100
Approximate (ZIP-level) locationGet directions
Mailing address
372 Live Oak Ln
Galax, VA 24333-5476
Other names (DBA / former)
- Doing business as
- Avila Residential Services, Inc.
- Doing business as
- Avila Residential Services, Inc.
Registry dates
- Enumerated
- 2022-10-19
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.