Organization
KING'S GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY KING (ADMINISTRATOR)
(919) 563-0477
Entity
Organization
Contact information
Practice address
307 STRATFORD DR, MEBANE, NC 27302-9614
(919) 563-0477
Mailing address
307 STRATFORD DR, MEBANE, NC 27302-9614
(919) 563-0477
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL001082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804438
—
NC
Enumeration date
08/27/2007
Last updated
08/27/2007
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