Organization
LIFESPARK HOME HEALTH LLC
Active
Parent organization
LIFESPARK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPARK LLC
Authorized official
BRIANNA LINDELAND (SR COMPLIANCE SPECIALIST)
(612) 286-1150
Entity
Organization
Contact information
Practice address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-8770
Mailing address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-8770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
370535
MN
Other
Enumeration date
08/27/2015
Last updated
05/02/2022
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