| Doctor Name: | JACOB SPARKS |
| NPI Number: | 1346534393 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S. |
| License Number: | |
| Business Practice Address: | 862 S Main St Ste 4 Brigham City, UT - 843023389 |
| Business Phone Number: | 4357231799 |
| Business Fax Number: | |
| Mailing Address: | 2262 N 1350 E, NORTH OGDEN |
| State: | UT |
| Postal Code: | 844142581 |
| Phone Number: | 8016434846 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253J00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Foster Care Agency |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |