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Organization
RADIANCE HOME HEALTH CARE AGENCY, INC.
Active
Organization
RADIANCE HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONILO S STA. MARIA III (OWNER/CEO)
(818) 861-5202
Entity
Organization
Contact information
Practice address
20832 ROSCOE BLVD, SUITE 213, CANOGA PARK, CA 91306-2057
(818) 678-9324
(818) 678-9528
Mailing address
20832 ROSCOE BLVD, SUITE 213, CANOGA PARK, CA 91306-2057
(818) 678-9324
(818) 678-9528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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