# REVIVE SPARKS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WINGFIELD SKILLED NURSING AND REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881355857
- **Authorized official:** ZACHARY GRAY (MANAGER)
- **Authorized official phone:** (518) 852-3255

## Contact information

- **Practice address:** 2350 WINGFIELD HILLS RD, SPARKS, NV 89436-7220
- **Practice address phone:** (775) 335-8275
- **Mailing address:** 9410 PROTOTYPE DR STE 7, RENO, NV 89521-5903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2022
- **Last updated:** 12/28/2022