NPI 1194861013
King Group Home
Practice location
- Address
- 7894 Treasure Cove CT, Reno, NV 89506-2186
- Phone
- (775) 677-1114
- Fax
- (775) 677-1116
- Mailing address
- 7894 Treasure Cove CT., Reno, NV 89506
Authorised official
- Name
- Brenton Charles King
- Title
- Owner
- Phone
- (775) 677-1114
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1194861013
- Entity type
- Organization
- NPI issued
- 29 Jan 2007
- Record last updated
- 14 Nov 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.