Organization
SPARKD SERVICES CORPORATION
Active
Other names
HOMEWELL CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA KUPPALA (PRESIDENT)
(917) 287-1718
Entity
Organization
Contact information
Practice address
62 JASMINE, LAKE FOREST, CA 92630-1456
(917) 318-7309
Mailing address
62 JASMINE, LAKE FOREST, CA 92630-1456
(917) 318-7309
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/18/2024
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