Organization · Type 2 NPI

Avila Residential Services, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galax, VA

NPI number 1174249254 Active

Practice location

372 Live Oak Ln
Galax, VA 24333-5476

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Another provider at this address

Nick R. Avila IiiBehavior Analyst Galax, VA NPI 1982203550

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Galax

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NPI record

NPI: 1174249254
Entity type: Organization (Type 2)
Issued: Oct 19, 2022
Last updated: May 14, 2025
Status: Active

Other names

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Avila Residential Services, Inc. · doing business as
Avila Residential Services, Inc. · doing business as

Authorized official

Mr. Nick R Avila
Executive Director/ Owner
(276) 238-7100

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About NPI 1174249254

Avila Residential Services, Inc.'s National Provider Identifier is 1174249254, issued on Oct 19, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Galax, VA. The record was last updated on May 14, 2025.