Organization
A SPARK OF POSSIBILITIES
Active
Other names
Spark 2 Hope
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANALEE LAMBRECHT BNS, PHN (CEO)
(763) 260-0182
Entity
Organization
Contact information
Practice address
555 RAILROAD DR NW STE D, ELK RIVER, MN 55330-1469
(763) 260-0182
(763) 577-4197
Mailing address
555 RAILROAD DR NW STE D, ELK RIVER, MN 55330-1469
(763) 260-1820
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487255121
—
MN
Enumeration date
10/14/2021
Last updated
01/11/2023
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