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Organization
SPARK OF HOPE CARE INC,
Active
Organization
SPARK OF HOPE CARE INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VENUS SHARNELL CARTER LVN (CEO)
(909) 532-4840
Entity
Organization
Contact information
Practice address
690 E CERRITOS ST, RIALTO, CA 92376-3601
(909) 532-4840
Mailing address
690 E CERRITOS ST, RIALTO, CA 92376-3601
(909) 532-4840
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
VN 203026
CA
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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