Organization · NPI-2

A Spark Of Possibilities

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child · Elk River, MN

NPI number1184387474
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1184387474
Entity type
Organization (NPI-2)
Legal business name
A Spark Of Possibilities
Organization subpart
No
Enumeration date
Oct 14, 2021
Certification date
Jan 11, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––Yes
385H00000X Respite Care––
385HR2050X Respite Care, Respite Care Camp––
251J00000X Nursing Care––
252Y00000X Early Intervention Provider Agency––
251C00000X Day Training, Developmentally Disabled Services––
261QD1600X Clinic/Center, Developmental Disabilities––

Other names

  • Spark 2 Hope (Doing Business As)

Practice location

555 Railroad Dr Nw Ste D
Elk River, MN 55330-1469

Phone 763-260-0182 · Fax 763-577-4197

Mailing address

555 Railroad Dr Nw Ste D
Elk River, MN 55330-1469

Phone 763-260-1820

Authorized official

Lanalee Lambrecht
Ceo
7632600182

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