| Sparks Retirement Home | |
|
304 S Goodman St Sparks GA 31647-7640 | |
| (229) 549-6448 | |
| (229) 549-8620 |
| Full Name | Sparks Retirement Home |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376944363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | RN066279 (Georgia) | Primary |