Spark LLC
NPI #1821616855 in Thornville, Ohio
Provider Information
- NPI Number
- 1821616855
- Entity Type
- Organization
- Organization Name
- Spark LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jul 7, 2020
- Last Updated
- Jul 7, 2020
Practice Location
- Address
- 10714 ZARTMAN RD
- City
- Thornville
- State
- Ohio
- ZIP Code
- 43076-9202
- Phone
- (740) 334-0657
Authorized Official
- Name
- SHELLEY A LANEY
- Title
- OWNER
- Phone
- (740) 334-0657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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