Provider Demographics
NPI:1356659247
Name:SPK INC.
Entity Type:Organization
Organization Name:SPK INC.
Other - Org Name:ESPECIALLY FOR HER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SCARLETT
Authorized Official - Middle Name:W
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-307-5838
Mailing Address - Street 1:805 PAMPLICO HWY
Mailing Address - Street 2:STE A110
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505
Mailing Address - Country:US
Mailing Address - Phone:843-665-5100
Mailing Address - Fax:843-662-0777
Practice Address - Street 1:805 PAMPLICO HWY
Practice Address - Street 2:SUITE A110
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505
Practice Address - Country:US
Practice Address - Phone:843-665-5100
Practice Address - Fax:843-662-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC021326414332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies