Organization · Type 2 NPI

Growth Bridge Sparks PCH LLC

Assisted Living Facility · Sparks, GA

NPI number 1902716145 Active

Practice location

204 S Goodman St
Sparks, GA 31647-7549

Mailing address

3116 Holly Mill Run
Marietta, GA 30062-5460

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1902716145

Growth Bridge Sparks PCH LLC's National Provider Identifier is 1902716145, issued on Sep 10, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Sparks, GA. The record was last updated on Sep 10, 2026.