Organization
SPARK OF LIFE IN HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAXONNE A COPELAND PROVIDER (SOLE MBR)
(727) 353-2939
Entity
Organization
Contact information
Practice address
22 HERITAGE DR APT B, WINDSOR, CT 06095-2740
(727) 353-2939
(727) 748-0561
Mailing address
22 HERITAGE DR APT B, WINDSOR, CT 06095-2740
(727) 353-2939
(727) 748-0561
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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