Organization
LIFESPARK HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI BOEHMER (BILLING MANAGER)
(952) 428-7295
Entity
Organization
Contact information
Practice address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-8770
(612) 351-4050
Mailing address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-8770
(612) 351-4050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
07/21/2022
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