NPI 1932960853
Rebere Eduan Sparks
Practice location
- Address
- 5679 Wellington Rd, Lyndhurst, OH 44124-3017
- Phone
- (216) 673-0441
Registered specialties (2)
Respite Care
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1932960853
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jan 2024
- Record last updated
- 1 Oct 2024
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.