Organization
SPARKS RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JOANN HAMNER JOANN HAMNER R.N. (OWNER/OPERATOR)
(229) 546-7373
Entity
Organization
Contact information
Practice address
304 S GOODMAN ST, SPARKS, GA 31647-7640
(229) 549-6448
(229) 549-8620
Mailing address
304 S GOODMAN ST, P.O. BOX 9, SPARKS, GA 31647-7640
(229) 549-6448
(229) 549-8620
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
RN066279
GA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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