Organization
REVIVE SPARKS LLC
Active
Other names
WINGFIELD SKILLED NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY GRAY (MANAGER)
(518) 852-3255
Entity
Organization
Contact information
Practice address
2350 WINGFIELD HILLS RD, SPARKS, NV 89436-7220
(775) 335-8275
Mailing address
9410 PROTOTYPE DR STE 7, RENO, NV 89521-5903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
12/28/2022
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