Sparks Retirement Home | |
304 S Goodman St Sparks GA 31647-7640 | |
(229) 549-6448 | |
(229) 549-8620 |
Full Name | Sparks Retirement Home |
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Speciality | Clinic/center - Community Health |
Location | 304 S Goodman St, Sparks, Georgia |
Authorized Official Name and Position | Nancy Joann Hamner (OWNER/OPERATOR) |
Authorized Official Contact | 2295467373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sparks Retirement Home 304 S Goodman St P.o. Box 9 Sparks GA 31647-7640 Ph: (229) 549-6448 | Sparks Retirement Home 304 S Goodman St Sparks GA 31647-7640 Ph: (229) 549-6448 |
NPI Number | 1376944363 |
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Provider Enumeration Date | 09/09/2014 |
Last Update Date | 09/09/2014 |
Identifier | Type | State | Issuer |
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1376944363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | RN066279 (Georgia) | Primary |