Organization
SPARK HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SHAFIR RN (PARTNER)
(917) 805-0702
Entity
Organization
Contact information
Practice address
3600 ROUTE 66 STE 150, NEPTUNE, NJ 07753-2645
(732) 722-9992
Mailing address
3600 ROUTE 66 STE 150, NEPTUNE, NJ 07753-2645
(732) 722-9992
(732) 242-7922
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
05/09/2024
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