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Organization
SPARK HOME HEALTH, LLC
Active
Organization
SPARK HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY M VAIL-STENCEL SLP (CO-OWNER/ADMINISTRATOR)
(720) 353-8939
Entity
Organization
Contact information
Practice address
1325 S COLORADO BLVD STE B312, DENVER, CO 80222-3303
(720) 951-0258
Mailing address
1325 S COLORADO BLVD STE B312, DENVER, CO 80222-3335
(720) 479-8952
(888) 981-8064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000155766
—
CO
Enumeration date
07/19/2016
Last updated
01/05/2023
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