NPI | 1093006702 |
---|---|
Doing Business As | SPARKS SENIOR HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 104100000X Social Worker |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-04-28 |
Last Update Date | 2012-11-27 |