KING CERTIFIED RESIDENTIAL FACILITY
Residential Treatment Facilities at Flatwoods Rd, North Port, AL

License number
Alabama 5324343
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: RENEE KING HOLLEY
Title: FAMILY PROVIDER
Phone: (205) 792-7829
Address
Address
4008 Flatwoods Rd, North Port, AL 35473
National Provider ID: 1497910244
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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King Certified Residential Facility

4008 Flatwoods Rd, North Port, AL 35473

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Family Provider , Principal:
Renee K. Holley (Family Provider , Principal)

King Certified Residential Facility, LLC

North Port, AL

Industry:
Provide Housing/personal Care For Disabled Individuals
Registration:
May 3, 2005
State ID:
464-019
Business type:
Domestic Limited Liability Company
Formation place:
Tuscaloosa County
Member:
King-Holley, Renee (Member)

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