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Organization
REVIVE SPARKS LLC
Active
Organization
REVIVE SPARKS LLC
Active
Other names
WINGFIELD SKILLED NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY GRAY (MANAGER)
(518) 852-3255
Entity
Organization
Contact information
Practice address
2350 WINGFIELD HILLS RD, SPARKS, NV 89436-7220
(775) 335-8275
Mailing address
9410 PROTOTYPE DR STE 7, RENO, NV 89521-5903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
01/03/2022
Last updated
12/28/2022
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