# SPARKS RETIREMENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376944363
- **Authorized official:** NANCY JOANN HAMNER JOANN HAMNER R.N. (OWNER/OPERATOR)
- **Authorized official phone:** (229) 546-7373

## Contact information

- **Practice address:** 304 S GOODMAN ST, SPARKS, GA 31647-7640
- **Practice address phone:** (229) 549-6448
- **Practice address fax:** (229) 549-8620
- **Mailing address:** 304 S GOODMAN ST, P.O. BOX 9, SPARKS, GA 31647-7640
- **Mailing address phone:** (229) 549-6448
- **Mailing address fax:** (229) 549-8620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | RN066279 | GA | Yes |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 09/09/2014