Margaret Marie Sparks, COTA/L
Individual provider Active NPI Skilled Nursing Facility · Palmyra, MO
NPI 1760670368 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1760670368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 20000169350 (MO)
- Practice address
- 104 N East St
Palmyra, MO 63461-1741 - Phone
- (816) 786-9372
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20000169350 | MO | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 20000169350 | MO | Yes |
Addresses
Primary practice location
104 N East St
Palmyra, MO 63461-1741
Mailing address
104 N East St
Palmyra, MO 63461-1741
Phone (816) 786-9372
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All providers in Palmyra, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.