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) 847-4644
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
Primary
ADC2270
LA
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1430242
—
LA
Enumeration date
02/23/2007
Last updated
11/20/2025
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