NPI 1881355857
Revive Sparks LLC
Practice location
- Address
- 2350 Wingfield Hills Rd, Sparks, NV 89436-7220
- Phone
- (775) 335-8275
- Mailing address
- 9410 Prototype Dr STE 7, Reno, NV 89521-5903
Authorised official
- Name
- Zachary Gray
- Title
- Manager
- Phone
- (518) 852-3255
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1881355857
- Entity type
- Organization
- NPI issued
- 3 Jan 2022
- Record last updated
- 28 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.