# MARLIN K. SPARKS MANAGEMENT COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charleston Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326146200
- **Authorized official:** MRS. JILL SPARKS BROWN (CO-OWNER)
- **Authorized official phone:** (859) 236-9292

## Contact information

- **Practice address:** 203 BRUCE CT, DANVILLE, KY 40422-1948
- **Practice address phone:** (859) 236-9292
- **Practice address fax:** (859) 236-3713
- **Mailing address:** 203 BRUCE CT, DANVILLE, KY 40422-1948
- **Mailing address phone:** (859) 236-9292
- **Mailing address fax:** (859) 236-3713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100037 | KY | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 05/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054882 | ANTHEM | KY |
| 05 | — | 12502480 | — | KY |