Organization · Type 2 NPI
Sparks Retirement Home
Community Health Clinic/Center · Sparks, GA
NPI number
1376944363
Active
Practice location
304 S Goodman St
Sparks, GA 31647-7640
Fax (229) 549-8620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | RN066279 (GA) |
Community Health Clinic/Center: Definition to come...
About NPI 1376944363
Sparks Retirement Home's National Provider Identifier is 1376944363, issued on Sep 9, 2014. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Sparks, GA. The record was last updated on Sep 9, 2014.