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Organization
SPARK LIFE SERVICES
Active
Organization
SPARK LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY VOLLMER (EXECUTIVE DIRECTOR)
(318) 847-4356
Entity
Organization
Contact information
Practice address
24456 HIGHWAY 371, SAREPTA, LA 71071-3501
(318) 847-4356
(318) 847-4356
Mailing address
PO BOX 351, SAREPTA, LA 71071-0351
(318) 847-4356
(318) 847-4644
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
PCA 3697
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
02/08/2007
Last updated
11/20/2025
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