King Group Home

NPI #1194861013 in Reno, Nevada

Provider Information

NPI Number: 1194861013
Entity Type: Organization
Organization Name: King Group Home
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 29, 2007
Last Updated: Nov 14, 2008

Practice Location

Address: 7894 TREASURE COVE CT
City: Reno
State: Nevada
ZIP Code: 89506-2186
Phone: (775) 677-1114

Authorized Official

Name: BRENTON CHARLES KING, BS
Title: OWNER
Phone: (775) 677-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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