| Spark Bird Llc | |
|
3328 Karl Rd Columbus OH 43224-3559 | |
| (614) 822-7720 | |
| Not Available |
| Full Name | Spark Bird Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3328 Karl Rd, Columbus, Ohio |
| Authorized Official Name and Position | Nora Balduff (OWNER) |
| Authorized Official Contact | 6148227720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Bird Llc Po Box 248371 Columbus OH 43224-8371 Ph: () - | Spark Bird Llc 3328 Karl Rd Columbus OH 43224-3559 Ph: (614) 822-7720 |
| NPI Number | 1447962832 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447962832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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