Organization
SPARK OF HOPE CARE INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VENUS SHARNELL CARTER LVN (CEO)
(909) 532-4840
Entity
Organization
Contact information
Practice address
690 E CERRITOS ST, RIALTO, CA 92376-3601
(909) 532-4840
Mailing address
690 E CERRITOS ST, RIALTO, CA 92376-3601
(909) 532-4840
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
VN 203026
CA
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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