Organization
MARLIN K. SPARKS MANAGEMENT COMPANY INC
Active
Other names
Charleston Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL SPARKS BROWN (CO-OWNER)
(859) 236-9292
Entity
Organization
Contact information
Practice address
203 BRUCE CT, DANVILLE, KY 40422-1948
(859) 236-9292
(859) 236-3713
Mailing address
203 BRUCE CT, DANVILLE, KY 40422-1948
(859) 236-9292
(859) 236-3713
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054882
ANTHEM
KY
05
—
12502480
—
KY
Enumeration date
09/21/2006
Last updated
05/07/2015
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