Provider Demographics
NPI:1821314048
Name:GERMAN, SPARKLE ANN (CNA/HHA)
Entity Type:Individual
Prefix:MRS
First Name:SPARKLE
Middle Name:ANN
Last Name:GERMAN
Suffix:
Gender:F
Credentials:CNA/HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11898 S COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-9441
Mailing Address - Country:US
Mailing Address - Phone:616-788-9500
Mailing Address - Fax:
Practice Address - Street 1:11898 S COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-9441
Practice Address - Country:US
Practice Address - Phone:616-788-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor