Organization
KING GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTON CHARLES KING BS (OWNER)
(775) 677-1114
Entity
Organization
Contact information
Practice address
7894 TREASURE COVE CT, RENO, NV 89506-2186
(775) 677-1114
(775) 677-1116
Mailing address
7894 TREASURE COVE CT., RENO, NV 89506
(775) 677-1114
(775) 677-1116
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GF-465264
NV
Other
Enumeration date
01/29/2007
Last updated
11/14/2008
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