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Organization
MARLIN K. SPARKS MANAGEMENT COMPANY INC
Active
Organization
MARLIN K. SPARKS MANAGEMENT COMPANY INC
Active
Other names
Charleston Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL SPARKS BROWN (CO-OWNER)
(859) 236-9292
Entity
Organization
Contact information
Practice address
203 BRUCE CT, DANVILLE, KY 40422-1948
(859) 236-9292
(859) 236-3713
Mailing address
203 BRUCE CT, DANVILLE, KY 40422-1948
(859) 236-9292
(859) 236-3713
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054882
ANTHEM
KY
05
—
12502480
—
KY
Enumeration date
09/21/2006
Last updated
05/07/2015
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