Organization
SPARK CARE HOME HEALTH SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRIN SALIM OMER RN (RN)
(651) 795-1157
Entity
Organization
Contact information
Practice address
140 W 98TH ST STE 103, BLOOMINGTON, MN 55420-4800
(651) 795-1157
Mailing address
140 W 98TH ST STE 103, BLOOMINGTON, MN 55420-4800
(651) 795-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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