Organization
MAPLE STAR NEVADA
Active
Organization
MAPLE STAR NEVADA
Active
Parent organization
PROVIDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE
Authorized official
MRS. CHERYL CHRISTINA GRIMES (THERAPUTIC FOSTER PARENT)
(775) 852-8335
Entity
Organization
Contact information
Practice address
8455 OFFENHAUSER DR, #517, RENO, NV 89511
(775) 852-8335
Mailing address
8455 OFFENHAUSER DR, #517, RENO, NV 89511-1752
(775) 852-8335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
FF-125404617
NV
253J00000X
Foster Care Agency
GF880321776-0316
NV
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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